Wolf, Myron I

Wolf, Myron I is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste 204 , Elk Grove Village IL 60007-3361. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wolf, Myron I can be contacted via phone (847) 437-7377.

Contact Information

Primary practice address
800 Biesterfield Rd Ste 204 Elk Grove Village IL 60007-3361
Phone: (847) 437-7377
Fax: (847) 437-7388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004461 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X IL016004461 Illinois

Profile Details

NPI number 1063596674
LBN Legal business name Wolf, Myron I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 28th, 2022 - about 2 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 1063596674 NPPES
Illinois Other 1604829 BCBS

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