Individual provider Active NPI

Waldemar Nowak, M.D.

  • Neurology Physician
  • Plainfield, IL
National Provider Identifier
1619256534
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036.142388 Issued in IL
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

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718000610 IL Practitioner - Neurology 2062705601 Reassigns benefits to 6 organizations

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
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

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 Hospital, Rockford, IL, CCN 140228
  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-9309IAMDNeurology Physician
036.142388ILMDNeurology Physician
ME137743FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital CurrentSince May 15, 2024 Accepting new patients
Edward Hospital CurrentSince May 20, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 24, 2017 Accepting new patients
Edward Health Ventures CurrentSince Apr 19, 2021 Accepting new patients
Swedishamerican Hospital Neurology Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 24, 2017 Accepting new patients
Nowak Neurology LLC Neurology CurrentSince Dec 13, 2022 Accepting new patients
Swedishamerican Hospital CurrentSince May 15, 2024 Accepting new patients
Edward Hospital CurrentSince May 20, 2023 Accepting new patients
Elmhurst Memorial Hospital CurrentSince May 23, 2023 Accepting new patients
Edward Health Ventures CurrentSince Apr 19, 2021 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

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.