| Wolff Clinical Group Pllc | |
|
137 N Oak Park Ave Ste 329 Oak Park IL 60301-1375 | |
| (708) 381-0634 | |
| Not Available |
| Full Name | Wolff Clinical Group Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 137 N Oak Park Ave Ste 329, Oak Park, Illinois |
| Authorized Official Name and Position | Kara Wolff (MEMBER) |
| Authorized Official Contact | 7732552799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolff Clinical Group Pllc 4156 W 21st Pl Chicago IL 60623-2831 Ph: (773) 255-2799 | Wolff Clinical Group Pllc 137 N Oak Park Ave Ste 329 Oak Park IL 60301-1375 Ph: (708) 381-0634 |
| NPI Number | 1053059469 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 4082096441 |
|---|---|
| Medicare Enrollment ID | O20220801002781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053059469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Kara E Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659651438 PECOS PAC ID: 2365605557 Enrollment ID: I20120525000612 |
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