DANIEL ROBERT WAHLSTROM MD
NPI 1265013619
Psychiatry & Neurology - Neurology in Hinsdale, IL

Q: What is Daniel Wahlstrom's NPI number?

The NPI number for Daniel Wahlstrom is 1265013619. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Q: What is Daniel Wahlstrom's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Wahlstrom was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2021PECOS EnrolledAccepts Medicare Assignment

908 N ELM ST STE 110, HINSDALE, IL 60521(630) 986-8770(630) 986-8776 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Jun 23, 2021, Apr 17, 2021 (3 updates tracked since 2021).

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About Daniel Robert Wahlstrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL ROBERT WAHLSTROM MD (NPI 1265013619) is an individual neurology provider in Hinsdale, Illinois, licensed in Illinois (036-171744) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265013619

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDANIEL ROBERT WAHLSTROMCredential: MD

Location Address908 N ELM ST STE 110Hinsdale, IL 60521-2600

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(630) 986-8770

Fax(630) 986-8776

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2021

Enumeration DateApril 17, 2021

Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1265013619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in IL · 036-171744✔ Licensed in IL · 125-078946✔ Licensed in MI · 4301514850

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

908 N ELM ST STE 110, Hinsdale, IL 60521

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Secondary Practice Locations 2

Location 1850 W Baraga Ave Ste 31Marquette, MI 49855-4550 · Phone (906) 449-3600

Location 2600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Robert Wahlstrom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395140792

PECOS Enrollment IDI20250701002166, I20250724000784

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230054

Location850 W Baraga AveMarquette, MI 49855 · Marquette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEESHAN ALI M.D.

Psychiatry & Neurology (Neurology)