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MR. MARK R. WOLF DDS NPI 1659441103


NPI Information

NPI: 1659441103
Provider Name: MR. MARK R. WOLF, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
533 W NORTH AVE.
SUITE 200
ELMHURST, IL
ZIP 60126
Phone: (630) 941-3400
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MR. Mark R. Wolf, DDS is an oral and maxillofacial surgery dentist in Elmhurst, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. MR. Mark R. Wolf, DDS NPI is 1659441103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

533 W NORTH AVE.
SUITE 200
ELMHURST, IL
ZIP 60126-100
Phone: (630) 941-3400
Fax: (360) 941-3421

The enumeration date for this NPI number is 11/9/2006 and was last updated on 6/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery019-015297ILLINOISNo
21223S0112XDentistOral and Maxillofacial Surgery021.000989ILLINOISNo
31223S0112XDentistOral and Maxillofacial Surgery019.015297ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T37381MEDICARE UPINILLINOIS
2019-015297MEDICAIDILLINOIS
3639761MEDICARE PINILLINOIS
4K51322MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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