KEVIN THOMAS WOLF (NPI# 1457844094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457844094 |
| Entity Type | Individual |
| Full Name | KEVIN THOMAS WOLF |
| Credential | DMD |
| Practice Address |
7124 W Diversey Ave Chicago IL 60707-1601 |
| Mailing Address |
1929 Keys Ave Springfield IL 62702-3019 |
| Practice Telephone | 2173617047 |
| Mailing Telephone | 2173617047 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.031678 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5637 W Fullerton Ave, Chicago, IL 606392351 | 2173617047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285071233 | Kevin Paul Wolf | Family Medicine | 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 | 2013-05-31 |
| 1487712824 | Kevin Jay Wolf | Podiatrist | 407 N. Herman St, Goldsboro, NC 27530 | 2006-12-05 |
| 1770996670 | Kevin Andrew Wolf | Physical Therapist | 8051 Washington Village Dr, Centerville, OH 45458-1885 | 2014-06-09 |
| 1699013110 | Kevin Herbert Wolf | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2013-01-17 |
| 1568425213 | Kevin M Wolf | Emergency Medical Technician, Basic | 5002 Crossing Circle, Mt. Juliet, TN 37122 | 2006-04-11 |
| Street Address |
7124 W DIVERSEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1114448578 | Jacqueline Magallanes | Dentist | 7124 W Diversey Ave, Chicago, IL 60707-1601 | 2017-07-06 |
| 1972732808 | Sara Marcela Morgan | Dentist | 7124 W Diversey Ave, Chicago, IL 60707-1601 | 2009-07-13 |
| 1306071295 | Jose Manuel Mariscal | Dentist | 7124 W Diversey Ave, Chicago, IL 60707-1601 | 2009-05-20 |
| 1104046234 | Zulma Dejesus | Dental Hygienist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1013137140 | Brian M Caraba | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1740400878 | Gregory James Matke | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| 1477613586 | Adnan D Atcha | Dentist | 7185 W Grand Ave, Chicago, IL 60707 | 2006-12-11 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
| Find all providers in CHICAGO | ||||
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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.