Dr Daryl D Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Addison, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Endeavor Health Medical Group and his current practice location is
303 W Lake St, Addison, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 527-3645.
Dr Daryl D Wilson is licensed to practice in Illinois (license number 036-100397) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346309150.
Physician's Profile
| Full Name | Dr Daryl D Wilson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 29 Years |
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| Location | 303 W Lake St, Addison, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Daryl D Wilson attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1996
NPI Data:
- NPI Number: 1346309150
- Provider Enumeration Date: 12/07/2006
- Last Update Date: 12/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173505229
- Enrollment ID: I20040603000254
Medical Identifiers
Medical identifiers for Dr Daryl D Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346309150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 036-100397 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Endeavor Health Medical Group | 2163334699 | 3022 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Daryl D Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Edward Health Ventures |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
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| Entity Name | Edward Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daryl D Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Daryl D Wilson, MD 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: () - | Dr Daryl D Wilson, MD 303 W Lake St, Addison, IL 60101-2586 Ph: (630) 527-3645 |
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