NPI 1023106093

Eric D Wolf, PA

Practitioner Physician Assistant Springfield, IL

Practice location

Address: 2151 W White Oaks Dr, Springfield, IL 62704-6410
Phone: (217) 717-4404
Mailing address: 2010 Jacobssen Dr, Normal, IL 61761-6280

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 385-001382 (IL)

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Registry record

NPI: 1023106093
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 28 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.