Andrew Wolf

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

113000065 Issued in IL

Practice address

1653 W Congress Pkwy
Suite 761 Jones Building Rush University Medical Center
Chicago, IL 60612-3833

Phone

(312) 942-6095

NPI assigned

Apr 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1397347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397347200000",
    "number": "1740609270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N LAKEVIEW AVE",
            "address_2": "APPT 3305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141840",
            "telephone_number": "312-241-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "SUITE 761 JONES BUILDING RUSH UNIVERSITY MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-13",
        "last_updated": "2014-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IL",
            "license": "113000065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Wolen, APN
• Wolf Pack Therapy, LLC
• Adam D Wolf, PT
• Alexandra Wolf, MD
• Amy Rose Wolf, L.AC.
• Ashley Elizabeth Wolf, M.D.
• Avi Vodnoy Wolf, LCPC
• Bracha Wolf, LCSW
• Consuelo Godinez Wolf, LCSW
• Elliot Wolf

• Pediatric Critical Care Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Critical Care Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; 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.