JERRY BALCOM WOLFE (NPI# 1093235327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093235327 |
| Entity Type | Individual |
| Full Name | JERRY BALCOM WOLFE |
| Credential | PHD |
| Practice Address |
33 E Armitage Ave Addison IL 60101-4853 |
| Mailing Address |
33 E Armitage Ave Addison IL 60101 |
| Practice Telephone | (630) 530-2510 |
| Practice Fax Number | 6305302569 |
| Mailing Telephone | 6305302510 |
| Mailing Fax Number | 6305302569 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-002142 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770507436 | Jerry H. Wolfe | Chiropractor | 9265 Activity Rd, San Diego, CA 92126-4444 | 2006-07-27 |
| Street Address |
33 E ARMITAGE AVE |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184944340 | Kevin C. Lambert | Psychologist | 14673 Midway Rd Ste 213, Addison, TX 75001-3952 | 2010-06-10 |
| 1174841910 | Shakesha Montina Evans | Psychologist | 16160 Midway Rd Ste 218, Addison, TX 75001-4207 | 2010-05-04 |
| 1548463375 | Garica Sanford | Psychologist | 14673 Midway Rd, 213, Addison, TX 75001-3171 | 2007-06-08 |
| 1831667385 | John Paul Sorrels | Psychologist | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2018-11-02 |
| 1952824286 | Fernando Trivelli Alessandri | Psychologist | 16160 Midway Rd Ste 218, Addison, TX 75001-4207 | 2017-07-18 |
| 1255789285 | Anna Matyja | Psychologist | 228 E Lake St, Addison, IL 60101-2889 | 2016-05-31 |
| 1578961595 | Elizabeth Blair Kenney | Psychologist | 14673 Midway Rd, #213, Addison, TX 75001-3171 | 2014-12-08 |
| 1285032375 | Great Life Counseling | Psychologist | 14673 Midway Rd, Ste. 213, Addison, TX 75001-3171 | 2014-12-05 |
| 1679908743 | Mohammad Hamid | Psychologist | 228 E Lake St, Addison, IL 60101-2889 | 2013-09-09 |
| 1184059404 | B David Das | Psychologist | 228 E Lake St, Addison, IL 60101-2889 | 2013-09-05 |
| Find all providers in ADDISON | ||||
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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.