MEDICARE: DR. DANIEL BENJAMIN WOOL MD

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	208600000X	Surgery Physician	A99184	CA
2	208600000X	Surgery Physician	036116766	IL

General Provider Information

NPI Number	:	1750404562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL BENJAMIN WOOL MD

Provider Business Mailing Address
First Line	:	129 W RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3142
Country	:	US
Telephone Number	:	847-215-0530
Fax Number	:	847-215-0951

Provider Business Practice Location Address
First Line	:	129 W RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3142
Country	:	US
Telephone Number	:	847-215-0530
Fax Number	:	847-215-0951

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

Provider Enumeration Date	:	04/08/2007
Last Update Date	:	07/28/2022

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