NPIMap

Individual provider Active NPI

Joanna Wilk, MD

  • Family Medicine Physician
  • Planfield, IL
National Provider Identifier
1669553863
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036103502 Issued in IL
Practice address
23826 135TH Street
Suite 103
Planfield, IL 60544
Phone
(815) 254-2403
NPI assigned
Oct 17, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
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 036103502 IL Primary

Addresses

Primary practice location

23826 135TH Street
Suite 103
Planfield, IL 60544

Mailing address

23836 W 135TH St
Suite 103
Plainfield, IL 60544-5620
Phone (815) 254-2403

Other identifiers 1

IdentifierTypeStateIssuer
036103502MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joanna.wilk.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
I20070502000120 IL Practitioner - Family Practice 7517063951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

23836 W 135TH St
Plainfield, IL 60544-5620
Phone (815) 254-2403

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Mar 10, 2009 Accepting new patients
Adventist Health Partners, Inc CurrentSince Mar 10, 2009 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients
Adventist Health Partners, Inc Family Medicine Past Accepting new patients
Plainfield Area Primary Care Physicians, LLC Family Medicine Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

15722 S Route 59
Plainfield, IL 60544
Phone (815) 436-8831

23836 W 135th St
Plainfield, IL 60544
Phone (815) 254-2403

23836 W 135th St
Unit 103
Plainfield, IL 60544
Phone (815) 254-2403

Interoperability endpoints

  • Direct secure messaging: joanna.wilk.1@380.direct.athenahealth.com
  • Direct secure messaging: jwilk1240968@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1669553863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23836 W 135TH ST",
            "address_2": "SUITE 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445620",
            "telephone_number": "815-254-2403",
            "fax_number": "630-548-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23826 135TH STREET",
            "address_2": "SUITE 103",
            "city": "PLANFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-254-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILK",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103502",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna.wilk.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "23826 135th Street",
            "address_2": "Suite 103",
            "city": "Planfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.