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NPI Code Detail

MEDICARE: DR. MARINA WOLF MD

MEDICARE: DR. MARINA WOLF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician125.084368IL

General Provider Information

NPI Number : 1467294611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARINA WOLF MD
Provider Business Mailing Address
First Line : 1901 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 03/06/2026

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Directions to “ DR. MARINA WOLF MD” Practice Location

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