Individual
LAUREL GOWER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 2350, CHICAGO, IL 60611-3370
(312) 926-6000
(312) 926-6323
Mailing address
259 E ERIE ST STE 2350, CHICAGO, IL 60611-3370
(312) 926-6000
(312) 926-6323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036163112
IL
207R00000X
Internal Medicine Physician
LL82607
SC
208000000X
Pediatrics Physician
LL82607
SC
Other
Enumeration date
06/05/2019
Last updated
10/23/2023
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