STEPHEN JAMES WIELGUS (NPI# 1255597944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255597944 |
| Entity Type | Individual |
| Full Name | STEPHEN JAMES WIELGUS |
| Credential | MD |
| Practice Address |
920 Milwaukee Ave Lincolnshire IL 60069 |
| Mailing Address |
920 Milwaukee Ave Lincolnshire IL 60069-3839 |
| Practice Telephone | 8478667846 |
| Practice Fax Number | 2242514568 |
| Mailing Telephone | 8478667846 |
| Mailing Fax Number | 2242514568 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036126677 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036126677 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1775 Ballard Rd, Park Ridge, IL 600681005 | 8473186020 |
| Street Address |
920 MILWAUKEE AVE |
| City | LINCOLNSHIRE |
| State | IL |
| Zip Code | 60069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659325389 | Jamal Ahmad | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2006-05-19 |
| 1801385638 | Larry Robert Frank Jr. | Physical Therapist | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2018-05-07 |
| 1801310453 | Mary Kiolbasa | Occupational Therapist | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2017-07-26 |
| 1821495276 | Loubabatou Bouzou | Physician Assistant | 920 Milwaukee Ave, Lincolnshire, IL 60069 | 2014-12-01 |
| 1164785770 | Erik J. Beltran | Psychiatry & Neurology | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2012-06-19 |
| 1124399449 | Diego Cole Villacis | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2012-01-18 |
| 1740566900 | Amanda Devine | Specialist/Technologist | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2011-11-01 |
| 1992004162 | Alexander John Tauchen | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2011-03-27 |
| 1831402007 | Verena Michaela Schreiber | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069 | 2010-07-16 |
| 1881857282 | Trevor Michael Bullock | Family Medicine | 920 Milwaukee Ave, Lincolnshire, IL 60069 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1790123164 | Ann Cameron Cameron Schieber | Dermatology | 275 Parkway Drive, Suite 521, Lincolnshire, IL 60069 | 2013-06-07 |
| 1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
| 1134432537 | Daniel Sorkin, Psy.d., LLC | Psychologist | 430 North Milwaukee Avenue, Suite 15, Lincolnshire, IL 60069 | 2010-07-14 |
| 1538309836 | Lowela Kho Palomares | Physical Therapist | 800 Audobon Way, Lincolnshire, IL 60069 | 2009-02-26 |
| 1962657890 | Lincolnshire Senior Care LLC | Skilled Nursing Facility | 960 Audubon Way, Rose Court, Lincolnshire, IL 60069 | 2008-11-19 |
| 1184885964 | Kristina Marie Ward | Pediatrics | 185 N. Milwaukee Ave, Suite 220, Lincolnshire, IL 60069 | 2008-06-24 |
| 1922159508 | Dolores Imroth Braun | Counselor | 24 Wimbledon Ct, Lincolnshire, IL 60069 | 2007-01-12 |
| 1588738439 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 300 Village Grn Ste 205, Lincolnshire, IL 60069 | 2006-11-20 |
| 1164439030 | Leanne Reed | Physical Therapist | 2525 Waukegan Rd #255, Bannockburn, IL 60069 | 2006-08-02 |
| Find all providers in zip 60069 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNSHIRE |
| Zip Code | 60069 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.