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NPI Code Detail

MEDICARE: DR. MARGARET A WOLODKO M.D.

MEDICARE: DR. MARGARET A WOLODKO M.D.
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
1207VG0400XGynecology Physician036109788IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036109788OTHERILLICENCE NUMBER

General Provider Information

NPI Number : 1750303277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET A WOLODKO M.D.
Provider Business Mailing Address
First Line : 116 EUCLID AVE
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-4217
Country : US
Telephone Number : 847-696-9200
Fax Number : 847-696-9206
Provider Business Practice Location Address
First Line : 116 EUCLID AVE
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-4217
Country : US
Telephone Number : 847-696-9200
Fax Number : 847-696-9206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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