W.J.Slodowy M.D.Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067404 Issued in IL

Legal business name

W.J.SLODOWY M.D.INC.

Practice address

3330 N Harlem Ave
Chicago, IL 60634-3601

Phone

(773) 889-7744

NPI assigned

Jan 10, 2007

Last updated

Feb 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wojciech Jan Slodowy, M.D.NPI 1386867877

Title

President

Phone

(773) 889-7744

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wojciech Jan Slodowy, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1386867877
  Authorized official Same address or phone
• James Stephen Carraher, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1073639589
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1699825133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PORTSHIRE DR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693325",
            "telephone_number": "847-317-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343601",
            "telephone_number": "773-889-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.J.SLODOWY M.D.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "SLODOWY",
        "authorized_official_first_name": "WOJCIECH",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-889-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uday Vyas, M.D.
• Laura Karvelis Vygantas, M.S.
• Heidi Annette Vyhmeister, CNM
• Indre Vysniauskaite
• W Jacobsen DPM Professional Corporation
• Samira E Waanders-Panwala, PT
• Angela Jae Waanders, M.D., MPH
• Joseph Wabomnor, PA-C
• Joseph Chuka Wabomnor, DC
• Kevin Wabomnor, PHARMD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.