Organization Active NPI

William M Hadesman MD SC

  • Orthopaedic Surgery Physician
  • Elmhurst, IL
National Provider Identifier
1992730774
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36071560 Issued in IL
Legal business name
WILLIAM M HADESMAN MD SC
Practice address
360 W Butterfield Rd
Suite 150
Elmhurst, IL 60126-5068
Phone
(630) 516-1680
Fax
(630) 516-1686
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. William M Hadesman, MDNPI 1548284003
Title
President
Phone
(630) 516-1680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 36071560 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd
Suite 150
Elmhurst, IL 60126-5068

Mailing address

35253 Eagle Way
Chicago, IL 60678-1352
Phone (630) 516-1680

Other identifiers 1

IdentifierTypeStateIssuer
CJ7295OtherILRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060804000064 IL Part B Supplier - Clinic/Group Practice 7113930405 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, IL
O20100930028729 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7113930405 Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

35253 Eagle Way
Chicago, IL 60678

360 W Butterfield Rd
Ste 150
Elmhurst, IL 60126
Phone (630) 516-1680

360 W Butterfield Rd
Elmhurst, IL 60126
Phone (312) 833-0653

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1992730774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35253 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781352",
            "telephone_number": "630-516-1680",
            "fax_number": "630-516-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD",
            "address_2": "SUITE 150",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "630-516-1680",
            "fax_number": "630-516-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M HADESMAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "HADESMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-516-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36071560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CJ7295",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.