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1023106093
ERIC D WOLF
SPRINGFIELD, IL
NPI
1023106093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 385-001382)
Enumeration Date
2006-10-11
Last Update Date
2023-08-28
Business Address
Mr. ERIC D WOLF PA
2151 W WHITE OAKS DR
SPRINGFIELD, IL 62704-6410
Phone number: 217-717-4404
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Mailing Address
Mr. ERIC D WOLF PA
2010 JACOBSSEN DR
NORMAL, IL 61761-6280
Phone number: 309-452-0995
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