DR. JON D WOLFE (NPI# 1073723714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073723714 |
| Entity Type | Individual |
| Full Name | DR. JON D WOLFE |
| Credential | D.M.D. |
| Practice Address |
123 W. Railroad St. Lena IL 61048-9038 |
| Practice Telephone | 8153692611 |
| Practice Fax Number | 8153692720 |
| Mailing Telephone | 8153692611 |
| Mailing Fax Number | 8153692720 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
022095 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230998 | Jon R. Wolfe | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2006-07-20 |
| Street Address |
123 W. RAILROAD ST. |
| City | LENA |
| State | IL |
| Zip Code | 61048-9038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295253 | Midwest Modern Health Pllc | Chiropractor | 306 East Main Street, Lena, IL 61048 | 2020-08-10 |
| 1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
| 1578677167 | Patrick George Schleich | Pharmacist | 154 W. Main St., Lena, IL 61048-0666 | 2006-08-19 |
| 1609027713 | Lena Winslow 202 | Local Education Agency (LEA) | 401 Fremont St, Lena, IL 61048-8610 | 2008-10-07 |
| 1114446978 | Kimberly Milder | Speech-Language Pathologist | 401 Fremont St, Lena, IL 61048-8610 | 2017-09-13 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1205132172 | Tanya Marie Knoup | Community Health Worker | 8475 W Mound Rd, Lena, IL 61048-9016 | 2011-02-09 |
| 1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
| Find all providers in zip 61048 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.