Carolyn Anne Bronke Wind, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

507 S la Grange Rd
La Grange, IL 60525-6740

Phone

(708) 354-1335

Fax

(708) 354-1336

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Carolyn Bronke Wind DDS SC

  • Dentist
  • La Grange, IL
  • NPI 1043361272
  NPD (past) Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629129846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256740",
            "telephone_number": "708-354-1335",
            "fax_number": "708-354-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256740",
            "telephone_number": "708-354-1335",
            "fax_number": "708-354-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONKE WIND",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brennan
• Brionna Breznai, MOT, OTR/L
• Brian Drelicharz, LCSW, LLC
• Eunice Brobby, MD
• Kelly R. Broderick, L.P.C.
• Jessica M Brown
• Sheila Bryck
• Carolyn Joan Buchanan, CCC SLP
• Cheryl Buhrke, MACCCSLP
• Michelle M Buikema, NP-C

• Dentist in La Grange, IL
• Providers in La Grange, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.