| Wolf And Osborne, Ltd | |
|
1353 E Mound Rd Decatur IL 62526-9345 | |
| (217) 875-7600 | |
| (217) 875-7681 |
| Full Name | Wolf And Osborne, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1353 E Mound Rd, Decatur, Illinois |
| Authorized Official Name and Position | Kevin Thomas Wolf (PRESIDENT/GENERAL DENTIST) |
| Authorized Official Contact | 2178757600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf And Osborne, Ltd 1353 E Mound Rd Ste 101 Decatur IL 62526-3600 Ph: (217) 875-7600 | Wolf And Osborne, Ltd 1353 E Mound Rd Decatur IL 62526-9345 Ph: (217) 875-7600 |
| NPI Number | 1801263272 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801263272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018111 (Illinois) | Primary |
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