MEDICARE: DR. EARL ERNST WOELTJE JR. DDS

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	122300000X	Dentist	019019646	IL

General Provider Information

NPI Number	:	1235347279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EARL ERNST WOELTJE JR. DDS

Provider Business Mailing Address
First Line	:	712 N BLOOMINGTON ST
Second Line	:	P.O. 516
City	:	STREATOR
State	:	IL
Zip	:	61364-2087
Country	:	US
Telephone Number	:	815-672-2195
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 N BLOOMINGTON ST
Second Line	:	P.O. 516
City	:	STREATOR
State	:	IL
Zip	:	61364-2087
Country	:	US
Telephone Number	:	815-672-2195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/25/2019

Similar Medicare Providers

1871587139 — DR. WILLIAM CURTIS HERWIG DC
Practice Location Address:

712 NORTH BLOOMINGTON STREET
STREATOR, IL
61364-2087

Practice Phone: 815-672-6961
Practice Fax: 815-672-6891

1548363088 — HERWIG CHIROPRACTIC LTD
Practice Location Address:

712 N BLOOMINGTON ST
STREATOR, IL
61364-2087

Practice Phone: 815-672-6961
Practice Fax: 815-672-6891

1437664976 — EARL E WOELTJE JR
Practice Location Address:

712 N BLOOMINGTON ST
STREATOR, IL
61364-2087

Practice Phone: 815-672-2195
Practice Fax:

1295732725 — ST. MARY'S HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDER ST FRAN
Practice Location Address:

111 SPRING ST
STREATOR, IL
61364-3332

Practice Phone: 815-673-2311
Practice Fax: 815-673-4524

1336146729 — ST MARYS HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDR ST FRANCIS
Practice Location Address:

111 SPRING ST
STREATOR, IL
61364-3332

Practice Phone: 815-673-4516
Practice Fax: 815-673-4542

1225035074 — ST MARYS HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDR ST FRANCIS
Practice Location Address:

111 SPRING ST
STREATOR, IL
61364-3332

Practice Phone: 815-673-4513
Practice Fax: 815-673-4593

Directions to “ DR. EARL ERNST WOELTJE JR. DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.