Individual provider · Type 1 NPI

Brooke Wold, DMS, PA-C

Physician Assistant · Hazel Crest, IL

NPI number 1134969637 Active

Practice location

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Call (708) 213-4200 Map

Fax (708) 213-0144

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 250 Center Dr Ste 201, Vernon Hills, IL 60061-1582 · (847) 367-8815
  • 2320 E 93rd St, Chicago, IL 60617-3909 · (773) 967-5430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.010072 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134969637

Brooke Wold, DMS, PA-C's National Provider Identifier is 1134969637, issued on May 31, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Nov 26, 2025.