| Dr Matthew Warren Wols, MD | |
| 
					925 West St, Peru, IL 61354-2757  | |
| (815) 223-3300 | |
| Not Available | 
| Full Name | Dr Matthew Warren Wols | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 925 West St, Peru, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427020544 | NPI | - | NPPES | 
| 036093915 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036093915 (Illinois) | Primary | 
| Entity Name | Ottawa Regional Hospital & Healthcare Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910  | 
| Entity Name | Osf Multi-specialty Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew Warren Wols, MD 121 E 56th St, Westmont, IL 60559-2033 Ph: (630) 494-0192  | Dr Matthew Warren Wols, MD 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300  | 
Dr. Steven Tyler Cullen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300  | |
Dr. Lawrence J Powell, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300  | |
Kleven H Israelsen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 Fax: 815-223-3394  |