NPIMap

Individual provider Active NPI

John H Wilkerson, MD

  • Family Medicine Physician
  • Elgin, IL
National Provider Identifier
1609807981
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-069115 Issued in IL
Practice address
1015 Summit St
Elgin, IL 60120-4362
Phone
(847) 289-8355
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-069115 IL Primary

Addresses

Primary practice location

1015 Summit St
Elgin, IL 60120-4362

Mailing address

1015 Summit St
Elgin, IL 60120-4362
Phone (847) 289-8355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.wilkerson.1@380.direct.athenahealth.com

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
I20100816000155 IL Practitioner - Family Practice 6507990355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1015 Summit St
Elgin, IL 60120-4362
Phone (847) 289-8355

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

  • Astra Health West Home health agency, Elgin, IL, CCN 148172
  • Luxe Home Health Home health agency, Des Plaines, IL, CCN 148317
  • Alexian Brothers Home Health Home health agency, Hanover Park, IL, CCN 147583
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-069115ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC Family Medicine CurrentSince Jan 1, 1996 Accepting new patients

Locations

3040 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3481

1015 Summit St
Elgin, IL 60120
Phone (847) 742-6888

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

25 E Schaumburg Rd
Ste 200
Schaumburg, IL 60194
Phone (847) 980-9390

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1609807981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204362",
            "telephone_number": "847-289-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204362",
            "telephone_number": "847-289-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-069115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.wilkerson.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 Summit St",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601204362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.