MEDICARE: WOLZ HEALTH, INC

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
1	2084P0800X	Psychiatry Physician	209-000115	IL

General Provider Information

NPI Number	:	1619062478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOLZ HEALTH, INC

Provider Business Mailing Address
First Line	:	8714 DAY RD
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62902-0427
Country	:	US
Telephone Number	:	618-559-3319
Fax Number	:

Provider Business Practice Location Address
First Line	:	8714 DAY RD
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62902-0427
Country	:	US
Telephone Number	:	618-559-3319
Fax Number	:

Authorized Official
Title or Position	:	CORP. PRESIDENT
Name	:	MRS. ALYSON G. WOLZ
Credential	:	FP-APRN,PMHCNS, BC
Telephone Number	:	618-559-3319

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/06/2025

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