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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEVEN ANTHONY WILSON JR.
NPI 1376237453
Family Medicine in Chicago, IL

Active since June 02, 2023PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 572-2643 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven Anthony Wilson Jr. NPPES

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

STEVEN ANTHONY WILSON JR. (NPI 1376237453) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.082298) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1376237453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN ANTHONY WILSON JR.
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1969 W Ogden AveChicago, IL 60612-3765 · (312) 572-2643
Phone(312) 572-2643
Sole ProprietorNo
Enumeration DateJune 2, 2023
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1376237453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 125.082298✔ Licensed in KY · 62317
Definition
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.
1969 W OGDEN AVE, Chicago, IL 60612
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Secondary Practice Location 1

Location 12401 Terra Crossing Blvd Ste 100Louisville, KY 40245-5395 · Phone (502) 210-4600 · Fax (502) 210-4605

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Anthony Wilson Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Wilson's NPI number?

The NPI number for Steven Wilson is 1376237453. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Steven Wilson located?

Steven Wilson practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 572-2643.

What is Steven Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Steven Wilson enrolled in Medicare?

Yes. Steven Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Steven Wilson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.