Wolfe, Laura Jean

Wolfe, Laura Jean is an individual health care provider with primary practice located at 682 W Boughton Rd Suite D, Bolingbrook IL 60440-5700. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wolfe, Laura Jean can be contacted via phone (630) 771-0144.

Contact Information

Primary practice address
682 W Boughton Rd Suite D Bolingbrook IL 60440-5700
Phone: (630) 771-0144
Fax: (630) 771-9520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180006228 Illinois

Profile Details

NPI number 1487788170
LBN Legal business name Wolfe, Laura Jean
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487788170 NPPES
Illinois Other 09932036 BCBS PROVIDER NUMBER

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