Individual provider Active NPI

Russell E Wudel, PA-C

  • Orthopaedic Surgery Physician
  • Joliet, IL
National Provider Identifier
1720188980
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
085001679 Issued in IL
Practice address
744 Essington Rd
Joliet, IL 60435-4912
Phone
(815) 729-0700
Fax
(815) 729-0700
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 085001679 IL Primary

Addresses

Primary practice location

744 Essington Rd
Joliet, IL 60435-4912

Mailing address

744 Essington Rd
Joliet, IL 60435-4912
Phone (815) 729-0700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000395 IL Practitioner - Physician Assistant 1951340769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Institute, LLCGroup PAC ID 7618979170, 11 clinicians

Practice addresses (Care Compare)

744 Essington Rd
Joliet, IL 60435-4912
Phone (815) 729-0700

756 Essington Rd
Unit a
Joliet, IL 60435-4912
Phone (815) 729-0700

Hospital & facility affiliations

  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Pain Treatment Institute, LTD CurrentSince Aug 1, 2024 Accepting new patients
Pain & Spine Institute, LLC CurrentSince Aug 21, 2017 Accepting new patients
Pain & Spine Institute, LLC CurrentSince Aug 21, 2017 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Aug 1, 2024 Accepting new patients

Locations

600 Hart Rd
Ste 320
Barrington, IL 60010
Phone (847) 852-2000

744 Essington Rd
Ste No
Joliet, IL 60435

744 Essington Rd
Joliet, IL 60435
Phone (815) 730-1100

555 W Court St
Ste 100
Kankakee, IL 60901
Phone (815) 929-1520

22285 N Pepper Rd
Ste 302
Lake Barrington, IL 60010
Phone (847) 726-0774

4309 W Medical Center Dr
Ste B103
McHenry, IL 60050
Phone (815) 363-9595

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1720188980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-729-0700",
            "fax_number": "815-729-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-729-0700",
            "fax_number": "815-729-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUDEL",
        "first_name": "RUSSELL",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "085001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.