Individual
DR. MATTHEW WARREN WOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
Mailing address
121 E 56TH ST, WESTMONT, IL 60559-2033
(630) 494-0192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036093915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093915
—
IL
Enumeration date
02/02/2006
Last updated
01/17/2008
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