Carl M Wahlstrom Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036076654 Issued in IL

Practice address

333 N Michigan Ave Ste 1812
Chicago, IL 60601-3982

Phone

(312) 782-7895

Fax

(312) 782-7897

NPI assigned

Jan 2, 2007

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Rush Medical College of Rush University, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carl M. Wahlstrom, Jr., M.D., Limited

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1912190901
  Medicare reassignment NPD Authorized official
• Burgess Christiansen Wilson, MD, Chartered

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1871789545
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1255498945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013982",
            "telephone_number": "312-782-7895",
            "fax_number": "312-782-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013982",
            "telephone_number": "312-782-7895",
            "fax_number": "312-782-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLSTROM",
        "first_name": "CARL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036076654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeel Wahid, MD
• Momen Wahidi, M.D.
• Cora Wahl
• Barbara C Wahler, MSW, LCSW
• Nicole Wahlert, LCPC,CADC
• Samer Wahood, MD
• William Y Wai, M.D.
• Kara Waier, APRN, CRNA
• Saidy Waight, LCSW
• Allison Wainer, PH.D.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, 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 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.