Individual
DR. KEITH JEREMY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3740 N HALSTED ST, APT 310, CHICAGO, IL 60613-5653
(937) 367-4712
Mailing address
3740 N HALSTED ST, APT 310, CHICAGO, IL 60613-5653
(937) 367-4712
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036130944
IL
2085R0202X
Diagnostic Radiology Physician
35.099508
OH
Other
Enumeration date
09/02/2009
Last updated
11/07/2014
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