DR. FREDERICK EDWARD WOHLBERG M.D. NPI 1134137417

NPI Information

NPI: 1134137417
Provider Name: DR. FREDERICK EDWARD WOHLBERG, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
9760 S KEDZIE AVE
SUITE 6
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 425-0112
Get Directions

DR. Frederick Edward Wohlberg, M.D. is an urology in Evergreen Park, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Frederick Edward Wohlberg, M.D. NPI is 1134137417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9760 S KEDZIE AVE
SUITE 6
EVERGREEN PARK, IL
ZIP 60805-109
Phone: (708) 425-0112
Fax: (708) 425-2785

The enumeration date for this NPI number is 8/3/2006 and was last updated on 5/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		036-042626	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	K20413	MEDICARE PIN
2	214706015	MEDICARE PIN
3	C42057	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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