Wolf, Margo M

Wolf, Margo M is an individual health care provider with primary practice located at 330 Madison St , Joliet IL 60435-6565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wolf, Margo M can be contacted via phone (815) 741-2900.

Contact Information

Primary practice address
330 Madison St Joliet IL 60435-6565
Phone: (815) 741-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036 091141 Illinois

Profile Details

NPI number 1356339451
LBN Legal business name Wolf, Margo M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 2nd, 2021 - about 3 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 1356339451 NPPES
Illinois MEDICAID 0361036092
Illinois Other 09900479

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