Dennis Michael Wolf, M.D., LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036064616 Issued in IL

Legal business name

DENNIS MICHAEL WOLF, M.D., LTD.

Practice address

6826 Windsor Ave
Berwyn, IL 60402-3441

Phone

(708) 795-5566

Fax

(708) 788-0517

NPI assigned

Jan 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Michael Wolf, M.D.

Title

Physician

Phone

(708) 795-5566

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1336290436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 WINDSOR AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023441",
            "telephone_number": "708-795-5566",
            "fax_number": "708-788-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 WINDSOR AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023441",
            "telephone_number": "708-795-5566",
            "fax_number": "708-788-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS MICHAEL WOLF, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-795-5566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036064616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.