Lisa M Kyle Wolf (NPI# 1306819776, PAC ID# 1456329341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1306819776 |
| PAC ID by PECOS | 1456329341 |
| Professional Enrollment ID | I20040920000013 |
| Full Name | Lisa M Kyle Wolf |
| Address |
5016 N University St Suite 106 Peoria IL 61614-4763 |
| Phone Number | 3096968369 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1988 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5016 N University St, Suite 106, Peoria, IL 61614-4763 | 3096968369 |
| Street Address |
5016 N UNIVERSITY ST SUITE 106 |
| City | PEORIA |
| State | IL |
| Zip | 61614-4763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise M Goforth | Clinical Social Worker | 5016 N University St, Suite 105, Peoria, IL 61614-4763 | |
| Diane M Bittle | Clinical Social Worker | 5016 N University St, Suite 105, Peoria, IL 61614-4763 | |
| Winifred D Ashford | Clinical Social Worker | Aeon Social Emotional Health Ltd | 5016 N University St, Peoria, IL 61614-4763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PEORIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lisa M Kyle Wolf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.