Wolf, Cheryl A.

Wolf, Cheryl A. is an sole proprietor health care provider with primary practice located at 201 Park Pl Suite #24, Bourbonnais IL 60914-1885. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wolf, Cheryl A. can be contacted via phone (815) 932-3395.

Contact Information

Primary practice address
201 Park Pl Suite #24 Bourbonnais IL 60914-1885
Phone: (815) 932-3395
Fax: (815) 933-0154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1760470603
LBN Legal business name Wolf, Cheryl A.
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760470603 NPPES
Illinois Other 2088369 CIGNA PROVIDER NUMBER
Illinois Other 04632009 CIGNA PROVIDER NUMBER
Illinois Other 234124 CIGNA PROVIDER NUMBER
Illinois Other 531590 CIGNA PROVIDER NUMBER
Illinois Other 7761273 CIGNA PROVIDER NUMBER

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