Michele M Wolter, OTRL

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1119 Hayes Ave
Oak Park, IL 60302-1105

Phone

(708) 358-1231

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michele Glennie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1417047119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 HAYES AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 HAYES AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021105",
            "telephone_number": "708-358-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "GLENNIE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wolff Clinical Group PLLC
• Kara E Wolff, PHD
• Elizabeth Marie Wollensak, D.O.
• Seth Drummond Wollwage, L.C.S.W.
• Brad Scott Wolter, PT
• Ka Ngan Wong, OTR/L
• Michelle Gloria Wong
• Sabina Nicole Wong, MD
• Wood Counseling Center, PLLC
• Amy Flanagan Wood, LMFT

• Contractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.