ROSARIO MARIA ELIZA WANGERIN MA
NPI 1568945814
Counselor - Professional in Chicago, IL

Active since September 12, 2018Opted out of Medicare · through Jun 23, 2028
6753 N NEWGARD AVE, CHICAGO, IL 60626(847) 902-8429 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosario Maria Eliza Wangerin Ma NPPES

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

ROSARIO MARIA ELIZA WANGERIN MA (NPI 1568945814) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180010832) and active in the NPI registry since September 2018. She has opted out of Medicare through June 23, 2028.

NPPES Registry Identity

NPI1568945814
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROSARIO MARIA ELIZA WANGERINCredential: MA
Location Address6753 N NEWGARD AVEChicago, IL 60626-4279
Mailing Address6753 N Newgard AveChicago, IL 60626-4279 · (847) 902-8429
Sole ProprietorYes
Enumeration DateSeptember 12, 2018
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 26, 2024
NPI 1568945814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180010832
Also ListedCounselorTaxonomy 101Y00000X · License 180010832 (IL)
6753 N NEWGARD AVE, Chicago, IL 60626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rosario Maria Eliza Wangerin Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2024 through June 23, 2028.

Opt-Out Effective DateJune 23, 2024
Opt-Out In Effect ThroughJune 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Rosario Maria Eliza Wangerin's NPI number?

The NPI number for Rosario Maria Eliza Wangerin is 1568945814. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Rosario Maria Eliza Wangerin located?

Rosario Maria Eliza Wangerin practices at 6753 N Newgard Ave, Chicago, IL 60626. The listed phone number is (847) 902-8429.

What is Rosario Maria Eliza Wangerin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rosario Maria Eliza Wangerin enrolled in Medicare?

No. Rosario Maria Eliza Wangerin has opted out of Medicare through June 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rosario Maria Eliza Wangerin was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.