Individual provider Active NPI

Steven Wenzel, PA

  • Physician Assistant
  • Westmont, IL
National Provider Identifier
1750990495
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-008160 Issued in IL
Practice address
303 W Ogden Ave
Westmont, IL 60559-1419
Phone
(888) 693-6437
Fax
(630) 432-6660
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-008160 IL Primary

Addresses

Primary practice location

303 W Ogden Ave
Westmont, IL 60559-1419

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swenzel265699@dulyhealthandcare.direct-ci.com Direct

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
I20210218000793 IL Practitioner - Physician Assistant 2567877814 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

Hospital & facility affiliations

  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-008160ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2021 Accepting new patients
Foster Health PLLC CurrentSince Mar 1, 2026 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 23, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center Current Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 8, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 8, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Nov 7, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Feb 3, 2021 Accepting new patients

Locations

1034 N Rohlwing Rd
Addison, IL 60101
Phone (708) 745-5743

220 Springfield Dr
Ste 100
Bloomingdale, IL 60108

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

430 Pennsylvania Ave
Ste 150
Glen Ellyn, IL 60137

40 S Clay St
Ste 110
Hinsdale, IL 60521

2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201

430 Warrenville Rd
Ste 230
Lisle, IL 60532
Phone (630) 432-6200

1206 E 9th St
Lockport, IL 60441
Phone (708) 406-3328

4003 S Route 59
Naperville, IL 60564

1355 E Ogden Ave
Stop 109
Naperville, IL 60563
Phone (630) 541-6679

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

303 W Ogden Ave
Westmont, IL 60559
Phone (630) 435-6107

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

980 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 541-6679

Interoperability endpoints

  • Direct secure messaging: swenzelpa358056@carlehiedirect.net

Organizations & group practices 10

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 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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1750990495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591419",
            "telephone_number": "888-693-6437",
            "fax_number": "630-432-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "STEVEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swenzel265699@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 W Ogden Ave",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.