NPIMap

Individual provider Active NPI

Larry Wilkes, FNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1942623525
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277000628 Issued in IL
Practice address
8556 S Ashland Ave
Chicago, IL 60620-4709
Phone
(773) 569-7470
NPI assigned
Feb 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277000628 IL Primary
Family Nurse Practitioner 363LF0000X 277000628 IL

Addresses

Primary practice location

8556 S Ashland Ave
Chicago, IL 60620-4709

Mailing address

8556 S Ashland Ave
Chicago, IL 60620-4709
Phone (773) 569-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141106001857 IL Practitioner - Nurse Practitioner 4284856204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meso Healthcare IncGroup PAC ID 5395243380, 2 clinicians
Inhome Medical Services IncGroup PAC ID 9931645157, 3 clinicians

Practice addresses (Care Compare)

8556 S Ashland Ave
Chicago, IL 60620-4709
Phone (773) 569-7470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
277000628ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Meso Healthcare Inc Family CurrentSince Jul 1, 2025 Accepting new patients
Inhome Medical Services Inc Psychiatric/Mental Health CurrentSince Jun 11, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince Oct 7, 2024 Accepting new patients
A-Nu Health Inc Family Past Accepting new patients
360 Talk Therapy Inc Psychiatric/Mental Health Past Accepting new patients

Locations

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

8556 S Ashland Ave
Chicago, IL 60620
Phone (708) 705-7947

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1942623525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204709",
            "telephone_number": "773-569-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204709",
            "telephone_number": "773-569-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "LARRY",
        "credential": "FNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000628",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.