Brooks W. Wilkinson, M.D., LTD

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

036081963 Issued in IL

Legal business name

BROOKS W. WILKINSON, M.D., LTD

Practice address

30 N Michigan Ave
Suite # 1622
Chicago, IL 60602-3402

Phone

(312) 541-1571

Fax

(312) 541-1571

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Brooks Wilding Wilkinson, M.D.

Title

President

Phone

(312) 541-1571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1861659435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE # 1622",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-541-1571",
            "fax_number": "312-541-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE # 1622",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-541-1571",
            "fax_number": "312-541-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS W. WILKINSON, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "WILDING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-541-1571",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036081963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081963",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay M Brooker, MD
• Sarah M Brooker, MD, PHD
• Brookhaven Counseling Group, LLC
• Krystal Brookins, LPC
• Savannah Eve Brookman
• Al-Fuquan Brooks, LMFT
• Alanna Brooks
• Amanda Brooks
• Ammie Kae Brooks, LSW
• Beth A Brooks, PHD, RN

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.