Individual provider Active NPI

Craig Anthony Wlodarek, M.D

  • Neurology Physician
  • Hinsdale, IL
National Provider Identifier
1851442230
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036115090 Issued in IL
Practice address
908 N Elm St Ste 110
Hinsdale, IL 60521-2600
Phone
(630) 986-8770
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036115090 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 110
Hinsdale, IL 60521-2600

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000

Other identifiers 2

IdentifierTypeStateIssuer
1635130OtherILBCBS
036088430MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwlodarek199423@dulyhealthandcare.direct-ci.com

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
I20070607000301 IL Practitioner - Neurology 8820196355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

908 N Elm St
Suite 110
Hinsdale, IL 60521-2600
Phone (630) 986-8770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036115090ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology, Clinical Neurophysiology, and Sleep Medicine, P.C. CurrentSince Jul 1, 2007 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 23, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 23, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

908 N Elm St
Ste 110
Hinsdale, IL 60521
Phone (630) 986-8770

908 N Elm St
Hinsdale, IL 60521
Phone (630) 325-3310

1440 W North Ave
Ste 304
Melrose Park, IL 60160
Phone (708) 343-6065

675 W North Ave
Ste 608
Melrose Park, IL 60160
Phone (708) 681-3000

1S443 Summit Ave
Ste 203
Oakbrook Terrace, IL 60181
Phone (630) 678-9240

Interoperability endpoints

  • Direct secure messaging: cwlodarek199423@dulyhealthandcare.direct-ci.com

Organizations & group practices 3

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1851442230",
    "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": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212600",
            "telephone_number": "630-986-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLODAREK",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036115090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635130",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088430",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwlodarek199423@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 110",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605212600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.