Individual
BROOKE WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMS, PA-C
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-4200
(708) 213-0144
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010072
IL
Other
Enumeration date
05/31/2024
Last updated
11/26/2025
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