Healthcare Provider Details

I. General information

NPI: 1467670521
Provider Name (Legal Business Name): JILL MEREDITH WOLF LCSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 W SHERWIN AVE APT 1N
CHICAGO IL
60626-2143
US

IV. Provider business mailing address

1548 W SHERWIN AVE APT 1N
CHICAGO IL
60626-2143
US

V. Phone/Fax

Practice location:
  • Phone: 773-331-3484
  • Fax:
Mailing address:
  • Phone: 773-331-3484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: