Individual provider Active NPI

Antonio Wheeler

  • Clinical Social Worker
  • Moline, IL
National Provider Identifier
1356980486
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021831 Issued in IL
Practice address
1996 1St Street a
Moline, IL 61265-7729
Phone
(309) 517-7561
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118939 TX
Clinical Social Worker 1041C0700X 133254 IA
Clinical Social Worker 1041C0700X 149021831 IL Primary

Addresses

Primary practice location

1996 1St Street a
Moline, IL 61265-7729

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

3 Erie Ct Ste 1300
Oak Park, IL 60302-2519
Phone (708) 406-3929

Other practice location 2

400 S Zang Blvd Ste 1201
Dallas, TX 75208-6624
Phone (972) 383-9354

Other practice location 3

4841 SE 14th St
Des Moines, IA 50320-1616
Phone (515) 415-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200408003966 IL Practitioner - Clinical Social Worker 7416386636 Reassigns benefits to 7 organizations
I20251210001436 IA Practitioner - Clinical Social Worker 7416386636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Iowa LLCGroup PAC ID 7113373168, 11 clinicians

Practice addresses (Care Compare)

4841 SE 14TH St
Des Moines, IA 50320-1616
Phone (515) 415-4081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133254IAMDClinical Social Worker
149021831ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Dupage Department of Health CurrentSince Jul 7, 2025 Accepting new patients
County of Dupage Department of Health Current Accepting new patients
Anchored in Wellness Chicago LLC Current Accepting new patients
PCC Community Wellness Center CurrentSince Jan 25, 2020 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Apr 14, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 8, 2023 Accepting new patients
Oak Street Health Physicians Group of Iowa LLC CurrentSince Oct 13, 2025 Accepting new patients
Cook County CurrentSince Sep 19, 2025 Accepting new patients
Agor Behavioral Health Services, Inc. CurrentSince Nov 21, 2024 Accepting new patients
County of Dupage Department of Health CurrentSince Jul 7, 2025 Accepting new patients
Cook County CurrentSince Sep 19, 2025 Accepting new patients
Primecare Community Health, Inc. CurrentSince Feb 18, 2022 Accepting new patients
Primecare Community Health, Inc. Current Accepting new patients
Cook County Current Accepting new patients
Primecare Community Health Inc CurrentSince Feb 18, 2022 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 25, 2020 Accepting new patients

Locations

4841 SE 14th St
Des Moines, IA 50320
Phone (515) 287-2115

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1996 1st Street a
Moline, IL 61265
Phone (309) 517-7561

3 Erie Ct
Ste 1300
Oak Park, IL 60302
Phone (708) 383-9786

3 Erie Ct
#1300
Oak Park, IL 60302
Phone (708) 406-3929

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

24402 W Lockport St
Ste 215
Plainfield, IL 60544
Phone (630) 621-5824

111 N County Farm Rd
Wheaton, IL 60187
Phone (630) 627-1700

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1356980486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 1ST STREET A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657729",
            "telephone_number": "309-517-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-406-3929",
            "fax_number": "708-406-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Zang Blvd Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752086624",
            "country_code": "US",
            "telephone_number": "972-383-9354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4841 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503201616",
            "country_code": "US",
            "telephone_number": "515-415-4081",
            "fax_number": "515-506-5085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "118939",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "133254",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.