Individual provider Active NPI

Stephen James Wielgus, MD

  • Family Medicine Physician
  • Lincolnshire, IL
National Provider Identifier
1255597944
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126677 Issued in IL
Practice address
920 Milwaukee Ave
Lincolnshire, IL 60069
Phone
(847) 866-7846
Fax
(224) 251-4568
NPI assigned
Aug 1, 2008
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036126677 IL Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 036126677 IL

Addresses

Primary practice location

920 Milwaukee Ave
Lincolnshire, IL 60069

Mailing address

920 Milwaukee Ave
Lincolnshire, IL 60069-3839
Phone (847) 866-7846

Other practice location 1

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-6020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swielgus230727@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000451 IL Practitioner - Sports MedicinePractitioner - Family Practice 4082885785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

920 Milwaukee Ave
Lincolnshire, IL 60069-3839
Phone (847) 866-7846

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036126677ILMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Feb 1, 2017 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 18, 2013 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Nov 18, 2013 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

920 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 383-2700

6131 Dempster St
Morton Grove, IL 60053
Phone (847) 967-5010

1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-6020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1255597944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MILWAUKEE AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693839",
            "telephone_number": "847-866-7846",
            "fax_number": "224-251-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MILWAUKEE AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-866-7846",
            "fax_number": "224-251-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Ballard Rd",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681005",
            "country_code": "US",
            "telephone_number": "847-318-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIELGUS",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126677",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036126677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swielgus230727@direct.northshore.org",
            "affiliation": "N",
            "address_1": "920 Milwaukee Ave",
            "city": "Lincolnshire",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.