DR. CARL M WAHLSTROM JR. (NPI# 1255498945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255498945 |
| Entity Type | Individual |
| Full Name | DR. CARL M WAHLSTROM JR. |
| Credential | M.D. |
| Practice Address |
307 N Michigan Ave Suite 1008 Chicago IL 60601-5311 |
| Practice Telephone | 3127827895 |
| Practice Fax Number | 3127827897 |
| Mailing Telephone | 3127827895 |
| Mailing Fax Number | 3127827897 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
307 N MICHIGAN AVE SUITE 1008 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457348682 | Cecilia S. Greene | Social Worker | 307 N Michigan Ave, Suite 312, Chicago, IL 60601-5311 | 2005-10-03 |
| 1053979914 | Lauren Wolf | Social Worker | 307 N Michigan Ave, Chicago, IL 60601-5311 | 2019-06-04 |
| 1417345463 | Linda F Gruenberg Do Sc | Psychiatry & Neurology | 307 N Michigan Ave, Suite 922, Chicago, IL 60601-5311 | 2014-12-29 |
| 1225260458 | Tara Gidney Thompson & Associates,pc | Psychologist | 307 N Michigan Ave, Suite 2024, Chicago, IL 60601-5311 | 2009-08-21 |
| 1912173535 | Adina Bayuk Keesom | Psychologist | 307 N Michigan Ave, Suite 914, Chicago, IL 60601-5311 | 2008-05-03 |
| 1912190901 | Carl M. Wahlstrom, Jr., M.d., Limited | Psychiatry & Neurology | 307 N Michigan Ave, Suite 1008, Chicago, IL 60601-5311 | 2007-08-22 |
| 1235339649 | Emily Edelman | Counselor | 307 N Michigan Ave, 1008, Chicago, IL 60601-5311 | 2007-07-23 |
| 1194943019 | Geralyn L Mazzone | Social Worker | 307 N Michigan Ave, 2024, Chicago, IL 60601-5311 | 2007-04-23 |
| 1083735047 | Mary Jo Jahn | Counselor | 307 N Michigan Ave, Suite 1008, Chicago, IL 60601-5311 | 2007-04-03 |
| 1316067432 | Kathryn Mary Doheny | Psychologist | 307 N Michigan Ave, Suite 802, Chicago, IL 60601-5311 | 2007-03-30 |
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| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
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| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.