Active NPI
Waldemar Nowak, M.D.
- Neurology Physician
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036.142388
- Practice address
- 24600 W 127TH St # 205
Plainfield, IL 60585-9507 - Phone
- (815) 731-9120
- NPI assigned
- Aug 9, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R-9309 | IA | |
| Neurology Physician | 2084N0400X | ME137743 | FL | |
| Neurology Physician | 2084N0400X | MD-42658 | IA | |
| Hospitalist Physician | 208M00000X | ME137743 | FL | |
| Neurology Physician | 2084N0400X | 036.142388 | IL | Primary |
Addresses
Primary practice location
24600 W 127TH St # 205
Plainfield, IL 60585-9507
Mailing address
2272 95TH St Ste 120
Naperville, IL 60564-8944
Phone (708) 665-2118
Other practice location 1
3000 N Halsted St Ste 703
Chicago, IL 60657-5196
Phone (773) 296-6666
Other practice location 2
9090 SW 87th Ct Ste 200
Miami, FL 33176-2317
Phone (305) 596-2080
Other practice location 3
200 Hawkins Drive
UIHC Neurology, RCP
Iowa City, IA 52242-1009
Phone (319) 356-2256
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
- Neurology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1340 Charles St
Rockford, IL 61104-2200
1700 Henry Luckow LN
Belvidere, IL 61008-1702
Phone (779) 696-8650
209 9TH St
Suite 200
Rockford, IL 61104-2235
Phone (779) 696-2750
2404 Charles St
Rockford, IL 61108-1602
Phone (779) 696-7910
2601 N Main St
Sa North Main
Rockford, IL 61103-3110
Phone (779) 696-8350
2909 N Main St
Rockford, IL 61103-3100
Phone (779) 696-5000
380 E Il Route 38
Sa Rochelle
Rochelle, IL 61068-9694
Phone (779) 696-9050
5665 N Junction Way
Sa Davis Junction
Davis Junction, IL 61020-9433
Phone (779) 696-9200
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
- FHN Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-9309 | IA | MD | Neurology Physician |
| 036.142388 | IL | MD | Neurology Physician |
| ME137743 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Swedishamerican Hospital | Neurology | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Nowak Neurology LLC | Neurology | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients |
Locations
303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
9532 Eagle Way
Chicago, IL 60678
29373 Network Pl
Chicago, IL 60673
3000 N Halsted St
Ste 703
Chicago, IL 60657
Phone (773) 296-6666
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
2272 95th St
Ste 120
Naperville, IL 60564
Phone (708) 665-2118
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200
24600 W 127th St
#205
Plainfield, IL 60585
Phone (815) 731-9120
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
1340 Charles St
Ste 400
Rockford, IL 61104
Phone (779) 475-3711
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- wnowak224657@direct.edward.org
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Neurology Physician
- Naperville, IL
- NPI 1750030615
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Family Medicine Physician
- Sandwich, IL
- NPI 1316183551
-
- Home Health Agency
- Naperville, IL
- NPI 1912930645
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Family Medicine Physician
- Rockford, IL
- NPI 1073675187
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670112000000",
"number": "1619256534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2272 95TH ST STE 120",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648944",
"telephone_number": "708-665-2118",
"fax_number": "708-665-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 W 127TH ST # 205",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-731-9120"
}
],
"practiceLocations": [
{
"address_1": "3000 N Halsted St Ste 703",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575196",
"country_code": "US",
"telephone_number": "773-296-6666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9090 SW 87th Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762317",
"country_code": "US",
"telephone_number": "305-596-2080",
"fax_number": "305-596-0657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Drive",
"address_2": "UIHC Neurology, RCP",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2256",
"fax_number": "319-384-8476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWAK",
"first_name": "WALDEMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2022-12-04",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "R-9309",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME137743",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "MD-42658",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME137743",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.142388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.