DR. DAVID WILK (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1184630626

DR. DAVID WILK (MD) is a healthcare provider. based in Hazel crest, Illinois. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 036070423 (IL). The NPI Number for DR. DAVID WILK (MD) is 1184630626

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID WILK (MD)
NPI
1184630626
Phone
(708) 799-1100
Address
3330 W 177TH ST
Enumeration Date
1 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087996799
Graduation Year
1982 (44 years ago)
PAC ID
3971493453
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20050301000165
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID WILK (MD)

  • 3330, West 177th Street, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States

    SUITE 1A

    HAZEL CREST, IL 604292184

    Phone: (708) 799-1100

    Fax: (708) 799-8343

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050301000165IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60429)

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Provider's Procedures

DR. DAVID WILK (MD) performs procedures in Geriatric Medicine (Internal Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time12814
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle3636

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

How do I look up DR. DAVID WILK (MD) by NPI?
Use NPI 1184630626 when you need to reference DR. DAVID WILK (MD) in forms, claims, or directories.
Does this profile mean DR. DAVID WILK (MD) is currently active?
Yes — DR. DAVID WILK (MD) appears active in the national provider directory.
Does DR. DAVID WILK (MD) list a primary specialty?
If you are matching referrals, note Geriatric Medicine (Internal Medicine) Physician for DR. DAVID WILK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DAVID WILK (MD)?
The snapshot lists Hazel Crest, Illinois for DR. DAVID WILK (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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