Individual provider · Type 1 NPI

Emily Wolf, CST

Surgical Physician Assistant · Normal, IL

NPI number 1285871764 Active

Practice location

1604 Visa Dr Ste 1
Normal, IL 61761-2195

Call (309) 846-4716 Map

Fax (309) 454-1107

Mailing address

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053

Specialties and licenses

TaxonomyCodeLicense
Surgical Technologist 246ZS0410XNone listed
Surgical Physician Assistant Primary 363AS0400X170750 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1285871764

Emily Wolf, CST's National Provider Identifier is 1285871764, issued on Jan 20, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Normal, IL. The record was last updated on Dec 7, 2018.