MR. MARK R. WOLF (NPI# 1659441103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659441103 |
| Entity Type | Individual |
| Full Name | MR. MARK R. WOLF |
| Credential | DDS |
| Practice Address |
533 W North Ave. Suite 200 Elmhurst IL 60126-2100 |
| Practice Telephone | 6309413400 |
| Practice Fax Number | 3609413421 |
| Mailing Telephone | 6309413400 |
| Mailing Fax Number | 3609413421 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019.015297 | IL | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021.000989 | IL | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019-015297 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019-015297 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750566147 | Mark Wolf | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2008-01-03 |
| 1023043973 | Mark D Wolf | Internal Medicine | 2055 Bloomfield Woods Ct, West Bloomfield, MI 48323-1915 | 2006-07-11 |
| 1942838750 | Mark Wolf | Student in an Organized Health Care Education/Training Program | 1000 S Limestone, Lexington, KY 40536-0001 | 2020-03-28 |
| 1861576415 | Mark J Wolf | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2006-10-24 |
| 1740396829 | Mark T Wolf | Psychiatry & Neurology | 322 W North River Dr, Rfm - Riverfront Medical Center, Spokane, WA 99201-3208 | 2006-08-22 |
| 1487767299 | Mark William Wolf | Physical Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2006-08-16 |
| 1669449237 | Mark Robert Wolf | Obstetrics & Gynecology | 7720 S Broadway, Ste 250, Littleton, CO 80122 | 2006-03-02 |
| 1023016185 | Mark Wolf | Obstetrics & Gynecology | 1000 Asylum Ave, Suite 4319, Hartford, CT 06105-1770 | 2005-07-13 |
| Street Address |
533 W NORTH AVE. SUITE 200 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700956273 | Advanced Oral & Maxillofacial Surgery Ltd. | Dentist | 533 W North Ave., Suite 200, Elmhurst, IL 60126-2100 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861815888 | Vasilios A Kostakis | Dentist | 6070 Woodhaven Blvd Ste C2, Elmhurst, NY 11373-5545 | 2014-01-27 |
| 1801047634 | Hanuman Oral Surgery Care Pllc | Dentist | 8201 Britton Ave Apt 2c, Elmhurst, NY 11373-2433 | 2008-10-10 |
| 1003092800 | Jeffrey W Chandler Dds Md PC | Dentist | 360 W Butterfield Rd Ste 220, Elmhurst, IL 60126-5000 | 2008-01-11 |
| 1700956273 | Advanced Oral & Maxillofacial Surgery Ltd. | Dentist | 533 W North Ave., Suite 200, Elmhurst, IL 60126-2100 | 2006-11-09 |
| 1790891281 | Joseph Anthony La Spisa | Dentist | 333 W 1st St, Elmhurst, IL 60126-2641 | 2006-08-21 |
| 1306841754 | Doron Kalman | Dentist | 6070 Woodhaven Blvd, Medical Unit C-2, Elmhurst, NY 11373-5554 | 2005-06-14 |
| 1437403409 | Icahn School of Medicine At Mount Sinai | Dentist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2012-10-30 |
| 1295909240 | M Lauck Sc | Dentist | 360 W Butterfield Rd, Suite 220, Elmhurst, IL 60126-5068 | 2008-04-19 |
| 1811171523 | Devender Nath Chhabra | Dentist | 8201 Britton Ave, 2c, Elmhurst, NY 11373-2470 | 2007-12-18 |
| 1619171386 | Albert R Matuza | Dentist | 8710 Grand Ave, Elmhurst, NY 11373-4444 | 2007-06-14 |
| Find all providers in ELMHURST | ||||
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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.