Individual
MYRON I WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
800 BIESTERFIELD RD STE 204, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-7377
(847) 437-7388
Mailing address
800 BIESTERFIELD RD STE 204, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-7377
(847) 437-7388
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004461
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
IL016004461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604829
BCBS
IL
Enumeration date
10/24/2006
Last updated
11/28/2022
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