Individual
JACOB WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95127105
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
209023753
IL
367500000X
Certified Registered Nurse Anesthetist
65596
CA
367500000X
Certified Registered Nurse Anesthetist
RNA213004
ME
Other
Enumeration date
09/10/2019
Last updated
10/18/2024
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