Susan Wilcoski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036077561 Issued in IL

Practice address

2740 W Foster Ave
Suite 307
Chicago, IL 60625-3500

Phone

(872) 208-7709

Fax

(872) 208-7703

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Foundation for Emergency Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467468280
  NPD (past)
• Swedish Covenant Management Services, Inc

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1962049551
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1902915796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 N HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256018",
            "telephone_number": "773-539-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "872-208-7709",
            "fax_number": "872-208-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOSKI",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036077561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077561",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Wilburne
• Lauren Kathleen Wilch, MD
• Charlom Wilcher
• Christina Gabrielle Wilcher
• Wilco Family Practice, LTD.
• Lindsey A Wilcox-Cooper
• Ashley M Wilcox, LCSW
• Hannah Esther Wilcox, BA, MHP
• Jane Elizabeth Wilcox, M.D.
• Jessica Wilcox

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.