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Individual

MICHAEL SEAN DEWOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
728 W JACKSON BLVD APT 219, CHICAGO, IL 60661-5534
(312) 890-8198

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036120425
IL

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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