Individual
RICHARD JOHN WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 BISHOP CT, MOUNT PROSPECT, IL 60056-6039
(847) 685-9900
Mailing address
1550 BISHOP CT, MOUNT PROSPECT, IL 60056-6039
(847) 685-9900
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036-105593
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036105593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-105593
—
IL
Enumeration date
10/03/2006
Last updated
10/19/2016
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