Myron I Wolf
Foot & Ankle Surgery
800 Biesterfield Rd Suite 625
Elk Grove Village
, Illinois 60007
Myron I Wolf
Foot & Ankle Surgery
800 Biesterfield Rd Suite 625
Elk Grove Village
, Illinois 60007
(847) 437-7388
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Myron I Wolf
- 800 Biesterfield Rd Suite 625
- Elk Grove Village, IL
- Zip : 60007
- Fax : (847) 437-7388
- Phone : (847) 437-7377
Second Address
- Myron I Wolf
- 800 Biesterfield Rd Suite 625
- Elk Grove Village, IL
- Zip : 60007
- Fax : (847) 437-7388
- Phone : (847) 437-7377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | IL016004461 | IL |
National Provider Identifier
| NPI | 1063596674 |
|---|---|
| Provider Name | Myron I Wolf |
| First Address | Elk Grove Village, IL 60007 |
| Second Address | Elk Grove Village, IL 60007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 06/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1604829 | BCBS (01) | IL |
| U33104 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.