Provider Demographics
NPI:1881850212
Name:WOLFF, SUJATHA KARETI (MD)
Entity type:Individual
Prefix:DR
First Name:SUJATHA
Middle Name:KARETI
Last Name:WOLFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 E. OGDEN AVENUE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521
Mailing Address - Country:US
Mailing Address - Phone:630-325-8893
Mailing Address - Fax:630-325-8939
Practice Address - Street 1:201 E. OGDEN AVENUE
Practice Address - Street 2:SUITE 116
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521
Practice Address - Country:US
Practice Address - Phone:630-325-8893
Practice Address - Fax:630-325-8939
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-1256342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry