Lonn Wolf, Ph.D.
Psychologist, Clinical in Homewood, IL. Individual provider (NPI-1).
NPI number1174530695
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174530695
- Entity type
- Individual (NPI-1)
- Name
- Lonn Wolf
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071-002141 | IL | Yes |
Practice location
19150 Kedzie Ave Ste 204Homewood, IL 60430-4541
Phone 708-799-7505
Mailing address
88 Old Creek RdPalos Park, IL 60464-1409
Phone 708-799-7505
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