Organization
BROOKS W. WILKINSON, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKS WILDING WILKINSON M.D. (PRESIDENT)
(312) 541-1571
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, SUITE # 1622, CHICAGO, IL 60602-3402
(312) 541-1571
(312) 541-1571
Mailing address
30 N MICHIGAN AVE, SUITE # 1622, CHICAGO, IL 60602-3402
(312) 541-1571
(312) 541-1571
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036081963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081963
—
IL
Enumeration date
05/20/2008
Last updated
05/20/2008
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