Wendy M Broekema, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Gurnee, Illinois. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is
6155 Grand Ave, Gurnee, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 535-7647.
Wendy M Broekema is licensed to practice in Illinois (license number 164008069) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538542733.
Healthcare Provider's Profile
| Full Name | Wendy M Broekema |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 1 Years |
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| Location | 6155 Grand Ave, Gurnee, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wendy M Broekema graduated from medical school in 2025
NPI Data:
- NPI Number: 1538542733
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 4385057603
- Enrollment ID: I20260310002164
Medical Identifiers
Medical identifiers for Wendy M Broekema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538542733 | NPI | - | NPPES |
| 3313 | Other | WI | CERTIFIED DIETITIAN |
| 1002101 | Other | | COMMISSION ON DIETETIC REGISTRATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 164008069 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 3313 (Wisconsin) | Secondary |
| 174H00000X | Health Educator | 146635 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4367 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wendy M Broekema is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wendy M Broekema, MS, RDN
6155 Grand Ave,
Gurnee, IL 60031-1651
Ph: (847) 535-7647 | Wendy M Broekema, MS, RDN
6155 Grand Ave,
Gurnee, IL 60031-1651
Ph: (847) 535-7647 |
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