MEDICARE: DR. WILLIAM DELOS CARLOCK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	036039104	IL

General Provider Information

NPI Number	:	1235252495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM DELOS CARLOCK M.D.

Provider Business Mailing Address
First Line	:	1140 SHERIDAN RD
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-1772
Country	:	US
Telephone Number	:	847-256-4932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 SHERIDAN RD
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-1772
Country	:	US
Telephone Number	:	847-256-4932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	12/07/2025

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Directions to “ DR. WILLIAM DELOS CARLOCK M.D.” Practice Location

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