Matthew E Pilditch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036095425 Issued in IL

Practice address

3080 Ogden Ave Ste 204
Lisle, IL 60532-1694

Phone

(630) 734-0580

Fax

(630) 734-0581

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cornerstone Family Health S.C.

  • Preferred Provider Organization
  • Lisle, IL
  • NPI 1912066788
  Medicare reassignment
• Cornerstone Family Healthcare

  • Family Medicine Physician
  • Lisle, IL
  • NPI 1982334843
  NPD
• West Suburban Hospital Medical Center

  dba West Suburban Skilled Nursing Unit

  • Skilled Nursing Facility
  • Oak Park, IL
  • NPI 1538206974
  NPD (past)
• West Suburban Medical Center

  dba West Suburban Health Care Physicians SVCS

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1649499096
  NPD (past)
• Wholistic Health Center of Oak Park, Inc.

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1639281967
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1639158728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320534",
            "telephone_number": "630-734-0580",
            "fax_number": "630-734-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE STE 204",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321694",
            "telephone_number": "630-734-0580",
            "fax_number": "630-734-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILDITCH",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01615849",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095425",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grazyna Gabriela Petersen, LCSW, CADC
• Ann Marie Peterson, LSW
• Christina Phillips, M.A. CCC-SLP
• Annabella Maria Picchi
• Coral Nicole Pidone, LCPC
• Catherine Marie Piscopo, LMT
• Annmarie Pitra, OD
• Plaudits Speech Therapy, Inc.
• Polcyn Couseling PC
• Lauren Polcyn

• Family Medicine Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.