Individual
MR. ERIC D WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2151 W WHITE OAKS DR, SPRINGFIELD, IL 62704-6410
(217) 717-4404
Mailing address
2010 JACOBSSEN DR, NORMAL, IL 61761-6280
(309) 452-0995
(217) 718-5284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
385-001382
IL
Other
Enumeration date
10/11/2006
Last updated
08/28/2023
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