Provider Demographics
NPI:1386688109
Name:BRICKMAN, WENDY JOY (MD)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JOY
Last Name:BRICKMAN
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 CHILDRENS PLAZA
Mailing Address - Street 2:MC #54 CHILDRENS MEMORIAL HOSPITAL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:773-880-4440
Mailing Address - Fax:773-880-4063
Practice Address - Street 1:2300 CHILDRENS PLAZA
Practice Address - Street 2:MC #54 CHILDRENS MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-880-4440
Practice Address - Fax:773-880-4063
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H86347Medicare UPIN
ILL99262Medicare ID - Type Unspecified