Organization
CARL M. WAHLSTROM, JR., M.D., LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL M WAHLSTROM JR. M.D. (PRESIDENT)
(312) 782-7895
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE STE 1812, CHICAGO, IL 60601-3982
(312) 782-7895
(312) 782-7897
Mailing address
333 N MICHIGAN AVE STE 1812, CHICAGO, IL 60601-3982
(312) 782-7895
(312) 782-7897
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-076654
IL
Other
Enumeration date
08/22/2007
Last updated
08/10/2026
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