Individual
ADAM D WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1659 W HUBBARD ST, CHICAGO, IL 60622-6352
(312) 614-1349
(312) 526-3312
Mailing address
1659 W HUBBARD ST, CHICAGO, IL 60622-6352
(312) 614-1349
(312) 526-3312
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
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