NPIMap

Organization Active NPI

Avi Vodnoy Wolf, LLC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1902479876
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AVI VODNOY WOLF, LLC
Practice address
1301 W Morse Ave Apt 3
Chicago, IL 60626-7306
Phone
(219) 928-8685
NPI assigned
Jul 20, 2021
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Avi Vodnoy Wolf, LCPCNPI 1568005650
Title
Therapist and Owner
Phone
(219) 928-8685

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1301 W Morse Ave Apt 3
Chicago, IL 60626-7306

Mailing address

1301 W Morse Ave Apt 3
Chicago, IL 60626-7306
Phone (219) 928-8685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1902479876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W MORSE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606267306",
            "telephone_number": "219-928-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W MORSE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606267306",
            "telephone_number": "219-928-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI VODNOY WOLF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "VODNOY",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "219-928-8685",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "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 Dec 20, 2023; 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.