Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE WOLD, DMS, PA-C
ActiveBROOKE WOLD, DMS, PA-C is a Physician Assistant healthcare provider located in HAZEL CREST, Illinois. NPI 1134969637 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HAZEL CREST, IL
Registration Details
- NPI Number
- 1134969637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2024 (2.0617541704745 yrs)
- Last Updated
- Nov 26, 2025
- License
-
085.010072 (IL)
Practice Information
- Address
-
17800 KEDZIE AVEHAZEL CREST, IL, 604292029Browse IL providers · Browse ZIP 60429
- Phone
- 7082134200
- Fax
- 7082130144
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| LISA M. FANTROY | PA-C | 1982799508 |
| MARK AMBROSE | PA-C | 1043424740 |
| OLIVIA SCHULTZ | — | 1669955936 |
| SARAH ALICE GILFILLAN | PA | 1043971435 |
| KYRIAKI M KEENAN | PA-C | 1043932403 |
| ETHAN HOELDTKE | PA-C | 1194560227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.