Individual
ADAM MICHAEL WOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, BLDG. 105, SUITE 1814, MAYWOOD, IL 60153-3328
(888) 584-7888
(708) 216-5560
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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