NPIMap

Individual provider Active NPI

Jeffrey Benjamin Wygodny, M,D,

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1437263076
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036090678 Issued in IL
Practice address
2128 W Cortez St
Chicago, IL 60622-3601
Phone
(773) 593-4607
NPI assigned
Aug 19, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036090678 IL Primary

Addresses

Primary practice location

2128 W Cortez St
Chicago, IL 60622-3601

Mailing address

2128 W Cortez St
Chicago, IL 60622-3601
Phone (773) 593-4607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060922000114 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3476558610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesiologists, LTD. Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Cook County Current Accepting new patients
Vertex Anesthesia LLC CurrentSince Apr 20, 2022 Accepting new patients
Cook County CurrentSince Apr 20, 2023 Accepting new patients
Cook County Anesthesiology CurrentSince Apr 20, 2023 Accepting new patients
Pinnacle Anesthesia, LTD Anesthesiology CurrentSince Sep 22, 2014 Accepting new patients
Westside Anesthesia Consultants, S.C. Anesthesiology Past Accepting new patients

Locations

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

3407 Momentum Pl
Chicago, IL 60689

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

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

10 Orland Square Dr
Ste 10C
Orland Park, IL 60462
Phone (708) 942-6030

10 Orland Square Dr
Orland Park, IL 60462
Phone (708) 448-8913

Organizations & group practices 8

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1437263076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 W CORTEZ ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223601",
            "telephone_number": "773-593-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 W CORTEZ ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223601",
            "telephone_number": "773-593-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYGODNY",
        "first_name": "JEFFREY",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M,D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036090678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.