Individual provider Active NPI

Wendy J Hozman, MD

  • Pediatrics Physician
  • Vernon Hills, IL
National Provider Identifier
1780780965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Practice address
870 West End Court
Suite 204
Vernon Hills, IL 60061
Phone
(847) 367-4230
Fax
(847) 367-4232
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X IL Primary

Addresses

Primary practice location

870 West End Court
Suite 204
Vernon Hills, IL 60061

Mailing address

870 West End Court
Suite 204
Vernon Hills, IL 60061
Phone (847) 367-4230

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001234 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7810281284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036052273ILMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780780965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 WEST END COURT",
            "address_2": "SUITE 204",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-367-4230",
            "fax_number": "847-367-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 WEST END COURT",
            "address_2": "SUITE 204",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-367-4230",
            "fax_number": "847-367-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOZMAN",
        "first_name": "WENDY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.