WILCO FAMILY PRACTICE LTD. NPI 1134238934

NPI Information

  • NPI: 1134238934
  • Provider Name: WILCO FAMILY PRACTICE, LTD.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2740 W FOSTER AVE
    SUITE 307
    CHICAGO, IL
    ZIP 60625
  • Phone: (872) 208-7709

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NPI Details

WILCO FAMILY PRACTICE, LTD. is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WILCO FAMILY PRACTICE, LTD. NPI is 1134238934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2740 W FOSTER AVE
SUITE 307
CHICAGO, IL
ZIP 60625-500
Phone: (872) 208-7709
Fax: (872) 208-7703

The provider's authorized official is Susan Wilcoski .
The authorized official title is President and has the following contact phone number (872) 208-7709.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/25/2014.

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
1207Q00000XFamily Medicine036077561ILLINOISYes

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 Other Provider Identifier Issuer
1E41113MEDICARE UPIN
2919820MEDICARE ID-TYPE UNSPECIFIED
3036077561MEDICAIDILLINOIS

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: 11/21/2025

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