Provider Demographics
NPI:1215200902
Name:WOLFF, PAULA ELIZABETH (AUD)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:ELIZABETH
Last Name:WOLFF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6925 N WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1335
Mailing Address - Country:US
Mailing Address - Phone:773-631-1003
Mailing Address - Fax:
Practice Address - Street 1:6925 N WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1335
Practice Address - Country:US
Practice Address - Phone:773-631-1003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-11
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000737231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist