Wilkes Wellness Services Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILKES WELLNESS SERVICES INC

Practice address

400 W 76TH St Ste 303
Chicago, IL 60620-1640

Phone

(773) 536-9922

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Larry Wilkes

Title

Ceo

Phone

(773) 536-9922

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1629577986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201640",
            "telephone_number": "773-536-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201640",
            "telephone_number": "773-536-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-536-9922"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Wilkerson, LAC
• Douglas Clifton Wilkerson, M. D.
• Elizabeth Erin Wilkerson
• Marylouise Kiyana Wilkerson, M.D.
• Wilkes Post Acute Care Inc
• Wilkes Wellness Services LLC
• Cheryl Wilkes, MD
• Larry Wilkes, FNP PMHNP
• Lauren Wilkes
• Tara C Wilkes, RN

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.