Individual
MARIA WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3011 BUTTERFIELD RD STE 240, OAK BROOK, IL 60523-3132
(630) 348-3840
(630) 348-3841
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.422557
IL
363L00000X
Nurse Practitioner
Primary
209.021991
IL
363LF0000X
Family Nurse Practitioner
209.021991
IL
Other
Enumeration date
12/13/2020
Last updated
08/18/2023
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