| Jessica Wolf, MD | |
|
360 Station Dr Ste 300, Crystal Lake, IL 60014-8003 | |
| (815) 455-1800 | |
| Not Available |
| Full Name | Jessica Wolf |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 360 Station Dr Ste 300, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104441252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 125075840 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wolf, MD 360 Station Dr Ste 300, Crystal Lake, IL 60014-8003 Ph: () - | Jessica Wolf, MD 360 Station Dr Ste 300, Crystal Lake, IL 60014-8003 Ph: (815) 455-1800 |
Dr. Edwin Vera Gumapas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25 S Virginia St, Ste 201, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
Dr. Kathryn Schoenbrod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Dr. Ramesh Babu Vemuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999 Fax: 815-397-2712 | |
Mrs. Mohinder Chadha, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 | |
Katherine Ann Godfrey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Venkata C Jampala, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 |