Individual provider Active NPI

Wendy L Foster, MD

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1396703070
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036078115 Issued in IL
Practice address
7411 Lake St
Ste L-120
River Forest, IL 60305-1876
Phone
(708) 488-1919
Fax
(708) 488-2370
NPI assigned
May 3, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036078115 IL Primary

Addresses

Primary practice location

7411 Lake St
Ste L-120
River Forest, IL 60305-1876

Mailing address

7411 Lake St
Ste L-120
River Forest, IL 60305-1876
Phone (708) 488-1919

Other identifiers 3

IdentifierTypeStateIssuer
0001634609OtherILBCBS OF IL GROUP
P00279622OtherILRAILROAD MEDICARE
036078115MedicaidIL

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
I20040913000652 IL Practitioner - Internal Medicine 2961479761 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036078115ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Beamer Carlon Craigen SC Internal Medicine Current Accepting new patients
Rush Oak Park Physicians Group Lake Street Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 1620
Chicago, IL 60675

1011 Lake St
Ste 300
Oak Park, IL 60301
Phone (708) 366-7896

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: wfoster160357@direct.rush.rush-health.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1396703070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "STE L-120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-488-1919",
            "fax_number": "708-488-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "STE L-120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-488-1919",
            "fax_number": "708-488-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL GROUP",
            "identifier": "0001634609",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00279622",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.