Wolfrum, Blaise Joseph

Wolfrum, Blaise Joseph is an individual health care provider with primary practice located at 1375 E Schaumburg Rd Suite 260, Schaumburg IL 60194-5166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wolfrum, Blaise Joseph can be contacted via phone (847) 895-4540.

Contact Information

Primary practice address
1375 E Schaumburg Rd Suite 260 Schaumburg IL 60194-5166
Phone: (847) 895-4540
Fax: (847) 895-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036079918 Illinois
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 036079918 Illinois

Profile Details

NPI number 1437231321
LBN Legal business name Wolfrum, Blaise Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 20th, 2015 - about 11 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 1437231321 NPPES
Illinois MEDICAID 036079918

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