Wendell A Wheeler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-068196 Issued in IL

Practice address

15821 S Park Ave
South Holland, IL 60473-1506

Phone

(708) 225-0200

Fax

(708) 225-0202

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wwheeler@drwheeler.amazing-direct.com

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.

• South Park Pediatrics, Inc

  dba South Park Pediatrics

  • Pediatrics Physician
  • South Holland, IL
  • NPI 1346424876
  NPD Authorized official
• South Park Pediatrics, Inc

  • Medical Specialty Clinic/Center
  • South Holland, IL
  • NPI 1649638685
  NPD (past) Authorized official

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1902808611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 S PARK AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731506",
            "telephone_number": "708-225-0200",
            "fax_number": "708-225-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 S PARK AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731506",
            "telephone_number": "708-225-0200",
            "fax_number": "708-225-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606434635",
            "country_code": "US",
            "telephone_number": "773-779-7337",
            "fax_number": "773-779-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "WENDELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-068196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "15821 S Park Ave",
            "city": "South Holland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604731506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Angella Webb, RN, MSN, FNP-BC
• Amanda L Wengert, PT
• Johnny White, LCSW
• Jonathan Ethan White, COTA
• Chrystal Whitfield
• Roshann Whitfield, HAIR LOSS SPECIALIST
• Wholebody Visiting Physicians

• Pediatrics Physician in South Holland, IL
• Providers in South Holland, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.