Active NPI
Wolf D Peddinghaus, M.D.
- Internal Medicine Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036053477
- Practice address
- 9701 Knox Ave
Suite 102
Skokie, IL 60076-1256 - Phone
- (847) 677-1112
- Fax
- (847) 674-3358
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036053477 | IL | Primary |
Addresses
Primary practice location
9701 Knox Ave
Suite 102
Skokie, IL 60076-1256
Mailing address
9701 Knox Ave
Suite 102
Skokie, IL 60076-1256
Phone (847) 677-1112
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
4901 Searle Pkwy
Suite 150
Skokie, IL 60077-1057
9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 663-8062
9977 Woods Dr 2ND Floor
Skokie, IL 60077-1057
Phone (847) 663-8370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36053477 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| American Home Visiting Physicians | Past | Accepting new patients |
Locations
2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
800 Austin St
Ste 506
Evanston, IL 60202
Phone (708) 328-1112
800 Austin St
Evanston, IL 60202
Phone (847) 316-8700
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
7380 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 568-7400
9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540
9977 Woods Dr
Ste 100
Skokie, IL 60077
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Birchwood Plaza Inc. | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2020 Jan 1, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1003801093
Adp of the SNF, Operational/Managerial Control
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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Residential Home Health
- Home Health Agency
- Northbrook, IL
- NPI 1114673787
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1487640660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 KNOX AVE",
"address_2": "SUITE 102",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761256",
"telephone_number": "847-677-1112",
"fax_number": "847-674-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 KNOX AVE",
"address_2": "SUITE 102",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761256",
"telephone_number": "847-677-1112",
"fax_number": "847-674-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDDINGHAUS",
"first_name": "WOLF",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036053477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.