| Bernard G. Wolf Ii Do Ltd | |
|
1315 N Highland Ave Suite 100 Aurora IL 60506-1400 | |
| (630) 896-6565 | |
| (630) 896-9735 |
| Full Name | Bernard G. Wolf Ii Do Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1315 N Highland Ave, Aurora, Illinois |
| Authorized Official Name and Position | Bernard Wolf (OWNER) |
| Authorized Official Contact | 6308966565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard G. Wolf Ii Do Ltd 1315 N Highland Ave Suite 100 Aurora IL 60506-1400 Ph: (630) 896-6565 | Bernard G. Wolf Ii Do Ltd 1315 N Highland Ave Suite 100 Aurora IL 60506-1400 Ph: (630) 896-6565 |
| NPI Number | 1770856387 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 1951560259 |
|---|---|
| Medicare Enrollment ID | O20120306000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770856387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036050670 (Illinois) | Primary |
| Provider Name | Bernard G Wolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710995121 PECOS PAC ID: 0547429433 Enrollment ID: I20120313000470 |
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