Individual provider Active NPI

Wesley R Harmston, D.O.

  • Adult Medicine Physician
  • Chicago, IL
National Provider Identifier
1821254475
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036-124934 Issued in IL
Practice address
3232 W 55TH St
Chicago, IL 60632-2638
Phone
(773) 434-8026
Fax
(773) 434-8107
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 036-124934 IL Primary

Addresses

Primary practice location

3232 W 55TH St
Chicago, IL 60632-2638

Mailing address

3232 W 55TH St
Chicago, IL 60632-2638
Phone (773) 434-8026

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
I20101101000765 IL Practitioner - Family Practice 6002000320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

3752 W 16TH St
Chicago, IL 60623-2028
Phone (773) 762-2435

Hospital & facility affiliations

  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-124934ILMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Apr 9, 2018 Accepting new patients
Advanced Health SC CurrentSince Aug 15, 2015 Accepting new patients
Access Community Health Network CurrentSince Apr 9, 2018 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

3752 W 16th St
Chicago, IL 60623
Phone (773) 521-0060

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

188 W Industrial Dr
#110D
Elmhurst, IL 60126
Phone (630) 516-9100

Interoperability endpoints

  • Direct secure messaging: wharmston12712@direct.achn.net

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 1

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1821254475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322638",
            "telephone_number": "773-434-8026",
            "fax_number": "773-434-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322638",
            "telephone_number": "773-434-8026",
            "fax_number": "773-434-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMSTON",
        "first_name": "WESLEY",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036-124934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.