Individual
EMILY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
(309) 454-1107
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
—
—
363AS0400X
Surgical Physician Assistant
Primary
170750
IL
Other
Enumeration date
01/20/2009
Last updated
12/07/2018
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