Robert John Wolf, M.D.
Individual provider Active NPI Internal Medicine Physician · Riverwoods, IL
NPI 1376566034 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1376566034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036087172 (IL)
- Practice address
- 240 Saunders Rd
Riverwoods, IL 60015-3835 - Phone
- (847) 236-1701
- Fax
- (847) 236-1705
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Northwestern University Feinberg Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hansa Medical Groupe PLLC
Select Rehabilitation, LLC
Practice addresses (Care Compare)
14595 W Rockland Rd
Libertyville, IL 60048-9700
Phone (847) 680-1205
180 W Half Day Rd
Buffalo Grove, IL 60089-6552
Phone (847) 478-8484
2600 Compass Rd
Glenview, IL 60026-8001
29330 N Waukegan Rd
Lake Bluff, IL 60044-5422
Phone (224) 534-6660
3775 Grand Ave
Gurnee, IL 60031-2909
Phone (847) 623-6300
500 N Hunt Club Rd
Gurnee, IL 60031-2416
Phone (847) 856-8100
510 W Northwest Hwy
Barrington, IL 60010-3051
Phone (847) 382-8888
5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902
751 E Terra Cotta Ave
Crystal Lake, IL 60014-3604
Phone (815) 444-6600
76 E Rollins Rd
Round Lake Beach, IL 60073-3804
Phone (847) 201-4179
Hospital & facility affiliations
- Home Healthcare Solutions Company LLC
- Guardian Home Health Care, LLC
- Illinois Home Health Care of Naperville
- 1St Assist Home Healthcare, LLC
- Am PM Home Healthcare Services LLC
- Guardian Healthcare & Hospice, LLC
- Suncrest Hospice Illinois LLC
- Accord Hospice
- Journeycare - Barrington
- St Croix Hospice Lombard
- Northshore University Healthsystem - Evanston Hospital
- Elmhurst Memorial Hospital
- Lincolnwood Place
- Citadel of Northbrook, The
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040723000377 | IL | Practitioner - Internal Medicine |
1850371436 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansa Medical Groupe PLLC | Internal Medicine | Current |
Accepting new patients |
| Tamid Medical Group | Internal Medicine | Current |
Accepting new patients |
| Hyong Kim MD Service Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Hansamssp LLC | Internal Medicine | Current |
Accepting new patients |
| Wholehealth Chicago-3 | Internal Medicine | Current |
Accepting new patients |
| Advocate Health & Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients | |
| Medical Care Specialists LTD | Internal Medicine | Past |
Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910
3825 N Central Ave
Chicago, IL 60634
Phone (773) 282-6188
29373 Network Pl
Chicago, IL 60673
1105 Milwaukee Ave
Riverwoods, IL 60015
Phone (847) 215-1391
240 Saunders Rd
Riverwoods, IL 60015
Phone (847) 236-1701
Interoperability endpoints
- rob@hansamedicalgroupe.kareodirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036087172 | IL | Yes |
Addresses
Primary practice location
240 Saunders Rd
Riverwoods, IL 60015-3835
Mailing address
10024 Skokie Blvd
Suite 304
Skokie, IL 60077-1025
Phone (847) 677-8577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209431 | Other | IL | MEDICARE GROUP |
| 036087172 | Medicaid | IL | |
| 110240081 | Other | IL | MEDICARE RAILROAD |
Other names
- Dr. Robert John Wolf
NPI Registry JSON
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1376566034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10024 SKOKIE BLVD",
"address_2": "SUITE 304",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771025",
"telephone_number": "847-677-8577",
"fax_number": "847-677-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 SAUNDERS RD",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600153835",
"telephone_number": "847-236-1701",
"fax_number": "847-236-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036087172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "209431",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087172",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110240081",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "WOLF",
"middle_name": "JOHN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Riverwoods, IL
- Adina I Urs
- US Diagnostic Imaging Company Inc
- Jenna Vangalis
- Luz Buccat Vinluan
- Deborah E Weber
- Sandra Younan
All providers in Riverwoods, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.