Active NPI
Caroline G Wambach, MD
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
National Provider Identifier
1326669870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036180276
- Practice address
- 600 S Paulina St Ste 403
Chicago, IL 60612-3806 - Phone
- (312) 942-7100
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036180276 | IL | Primary |
| Pediatrics Physician | 208000000X | 036180276 | IL |
Addresses
Primary practice location
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Mailing address
2800 W 95TH St
Evergreen Park, IL 60805-2701
Other practice location 1
2800 W 95th St
Evergreen Park, IL 60805-2701
Phone (708) 422-6200
Other practice location 2
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.076074 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1326669870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PAULINA ST STE 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-7100"
}
],
"practiceLocations": [
{
"address_1": "2800 W 95th St",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608052701",
"country_code": "US",
"telephone_number": "708-422-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAMBACH",
"first_name": "CAROLINE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036180276",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036180276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.