Brooklyn Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BROOKLYN HEALTH, LLC

Practice address

3303 Grove Ave
Unit 504
Berwyn, IL 60402-3432

Phone

(708) 484-4986

Fax

(708) 484-4986

NPI assigned

Jan 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George V. Kalayil, MD

Title

President

Phone

(708) 484-4986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gretchen A Boules, PSYD

  • Prescribing (Medical) Psychologist
  • Hinsdale, IL
  • NPI 1710082474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215087747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 GROVE AVE",
            "address_2": "UNIT 504",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023432",
            "telephone_number": "708-484-4986",
            "fax_number": "708-484-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 GROVE AVE",
            "address_2": "UNIT 504",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023432",
            "telephone_number": "708-484-4986",
            "fax_number": "708-484-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALAYIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-484-4986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadleaf Health and Wellness
• Broadleaf Health and Wellness
• Robert Brochin, M.D.
• John D Brofman, M.D.
• Emily A Bronkowski, DPT
• Dawn Brown, PH.D.
• Lauren M Brown, P.T.A.
• Marcia Brown, RD
• Precious Brown
• Bruce Rachum, D.C., Professional Corporation

• Psychiatry Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.