Individual
MARK WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938-4648
(217) 258-4020
(217) 258-4023
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036173264
IL
208600000X
Surgery Physician
7756
KS
Other
Enumeration date
07/01/2011
Last updated
09/23/2025
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