Dr. Keith Jeremy Wolfe, M.D.
Radiology, Diagnostic Radiology in Chicago, IL. Individual provider (NPI-1).
NPI number1245463595
StatusActive
Last updated in NPPESNov 7, 2014
Details
- NPI
- 1245463595
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith Jeremy Wolfe
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2009
- Last updated
- Nov 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036130944 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 35.099508 | OH |
Practice location
3740 N Halsted StApt 310
Chicago, IL 60613-5653
Phone 937-367-4712
Mailing address
3740 N Halsted StApt 310
Chicago, IL 60613-5653
Phone 937-367-4712
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