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Individual

MYRON I WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004461
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
IL016004461
IL
213ES0131X
Foot Surgery Podiatrist
Primary
016004461
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1604829
BCBS
IL
Enumeration date
10/24/2006
Last updated
06/10/2026
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