Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Mogul-Wyman, MD

Individual provider Emergency Medicine Physician · NPI 1174971899

Ashley Mogul-Wyman, MD is an Emergency Medicine in Evanston, Illinois. Qualified in 2016, 10 years ago. Practices with Vituity-Massachusetts PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Connecticut, Illinois, Indiana and Massachusetts.

Years since qualifying
10
Licensed in
CT, IL, IN, MA
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Ridge Ave
Evanston, IL 60202-3328
Phone: (847) 316-2440
Fax: (847) 316-2369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301505506 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036148101 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01087891A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 80435 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174971899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vituity-Massachusetts Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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