Individual
MARGO M WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
330 MADISON ST, JOLIET, IL 60435-6565
(815) 741-2900
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036 091141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361036092
—
IL
01
—
09900479
BCBS
IL
Enumeration date
10/12/2005
Last updated
03/02/2021
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