Provider Demographics
NPI:1770160277
Name:WOLF, MARGARET ANN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:WOLF
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 N MCVICKER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-1111
Mailing Address - Country:US
Mailing Address - Phone:773-307-0047
Mailing Address - Fax:773-774-9503
Practice Address - Street 1:5161 W 111TH ST
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-6021
Practice Address - Country:US
Practice Address - Phone:708-636-5555
Practice Address - Fax:708-636-5564
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist