Individual provider Active NPI

Joseph Wilson

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1861925257
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036153111 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01092617A IN
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036153111 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Other practice location 1

10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231102000755 IL Practitioner - Diagnostic Radiology 1951676709 Reassigns benefits to 5 organizations
I20250310000857 IN Practitioner - Diagnostic Radiology 1951676709 Reassigns benefits to 1 organization
I20250908003846 MI Practitioner - Diagnostic Radiology 1951676709 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, shared by 2 NPIs, 1,674 clinicians
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

Chicago, IL 60642
Phone (517) 439-0200

10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200

1332 W Hubbard St
Apt 1E
Chicago, IL 60642-6411
Phone (269) 226-7000

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

420 W High St
Lee Memorial Hospital Corporation
Dowagiac, MI 49047-1943
Phone (269) 782-8681

47 W Polk St
Suite G1
Chicago, IL 60605-2083
Phone (773) 702-1000

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Lee Hospital CurrentSince Oct 1, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 18, 2023 Accepting new patients
Ascension Borgess Hospital Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Hillsdale Community Health Center CurrentSince Aug 21, 2025 Accepting new patients
University of Chicago CurrentSince Sep 18, 2023 Accepting new patients
Ascension Borgess Lee Hospital Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 18, 2023 Accepting new patients
University of Chicago CurrentSince May 27, 2025 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

3180 Solutions Ctr
Chicago, IL 60677

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

10855 Virginia St
Ste 2800
Crown Point, IN 46307

10855 Virginia St
Ste 1700
Crown Point, IN 46307

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: jwilson19107@uihealth.direct-ci.com

Organizations & group practices 11

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 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1861925257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10855 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070210",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01092617A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036153111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.