Dr Matthew Warren Wols, MD | |
925 West St, Peru, IL 61354-2757 | |
(815) 223-3300 | |
Not Available |
Full Name | Dr Matthew Warren Wols |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 925 West St, Peru, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427020544 | NPI | - | NPPES |
036093915 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036093915 (Illinois) | Primary |
Entity Name | Ottawa Regional Hospital & Healthcare Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Warren Wols, MD 121 E 56th St, Westmont, IL 60559-2033 Ph: (630) 494-0192 | Dr Matthew Warren Wols, MD 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 |
Dr. Steven Tyler Cullen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 | |
Dr. Lawrence J Powell, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 | |
Kleven H Israelsen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 Fax: 815-223-3394 |