Individual
ADAM D WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP NUMBER
IL
01
—
1623066
BCBS OF ILLINOIS
IL
01
—
367885100
US DEPT OF LABOR
IL
Enumeration date
05/30/2007
Last updated
03/09/2020
Update your record
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