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Deactivated NPI 1063483683 Deactivated / Inactive NPI Female Practitioner

Dr. Janet V Wildman , DO

Pediatrics • St Charles, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Janet Wildman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date May 15, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Janet Wildman, DO was a registered Pediatrics practicing in St Charles, IL. Throughout an active medical career spanning 19 years, Dr. Wildman provided care at the practice location at 970 N 5TH AVE until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

970 N 5th Ave

St Charles, IL 601741227

Telephone 6305841950
Fax 6305848994
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Charles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
20 Specialists

Practicing in St Charles, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 36-64686

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Amy Frazer , PA-C

Physician Assistant

NPI 1144381823

Physician Assistant (Certified)

Dr. Catherine Thomas , MD

Internal Medicine

NPI 1295785756

Doctor of Medicine (M.D.)

Dr. Robert Reeder , MD

General Practice

NPI 1336138486

Doctor of Medicine (M.D.)

Steve Thiel , PA-C

Physician Assistant

NPI 1386705085

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2013

Registered at 970 N 5TH AVE, ST CHARLES, IL 601741227 (Tel: 6305841950)

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Updated Business Mailing Address July 02, 2013

Registered at 5N380 RONSU LN, ST CHARLES, IL 601756216 (Tel: 6305844860)

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Provider Name / Credentials Updated July 02, 2013

Recorded as JANET WILDMAN, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Pediatrics (License #36-64686 in IL)

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Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1063483683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: July 02, 2013
Deactivation Date: May 15, 2025

Mailing Address

5n380 Ronsu Ln

St Charles, IL 601756216

Phone: 6305844860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.