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NPI Code Detail

MEDICARE: GOOD WOLF WELLNESS PLLC

MEDICARE: GOOD WOLF WELLNESS PLLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1568327609
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD WOLF WELLNESS PLLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3196
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3196
Country : US
Telephone Number : 773-232-6845
Fax Number : 773-373-0357
Authorized Official
Title or Position : OWNER
Name : STEPHEN MORRIS
Credential : DO
Telephone Number : 773-232-0357
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “GOOD WOLF WELLNESS PLLC ” Practice Location

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