NPIMap

Organization Active NPI

Dr Michael B Wolf LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1558495291
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019013709 Issued in IL
Legal business name
DR MICHAEL B WOLF LTD
Practice address
5334 N Cumberland Ave
Chicago, IL 60656-1435
Phone
(773) 693-5880
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Michael Barry Wolf, DDSNPI 1982953725
Title
President
Phone
(773) 693-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019013709 IL Primary

Addresses

Primary practice location

5334 N Cumberland Ave
Chicago, IL 60656-1435

Mailing address

5334 N Cumberland Ave
Chicago, IL 60656-1435
Phone (773) 693-5880

National Provider Directory

National Provider Directory

Locations

5334 N Cumberland Ave
Chicago, IL 60656
Phone (773) 693-5880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1558495291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 N CUMBERLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561435",
            "telephone_number": "773-693-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 N CUMBERLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561435",
            "telephone_number": "773-693-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL B WOLF LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-693-5880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019013709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.