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Richard Eugene Wolf JR.
Private Vehicle in Petersburg, Illinois
NPI 1376049361

Richard Eugene Wolf JR. is a Private Vehicle based in Petersburg, IL. Richard Eugene Wolf JR. practices in Petersburg, IL. The NPI Number for Richard Eugene Wolf JR. is 1376049361 and holds a License No. (Illinois).

The current practice location address for Richard Eugene Wolf JR. is 18857 Curtis Blacktop Rd, Petersburg, IL and can be reached out via phone at 217-299-7461.

Location: 18857 Curtis Blacktop Rd, Petersburg, IL, 62675-7013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376049361
Provider Name
Richard Eugene Wolf JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
18857 Curtis Blacktop Rd, Petersburg, IL, 62675-7013
Phone Number
217-299-7461
Fax Number
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18857 Curtis Blacktop Rd
City
Petersburg
State
Illinois
Zip
62675-7013
Phone Number
217-299-7461
Fax Number
person
Provider Business Mailing Address Details
Address
18857 Curtis Blacktop Rd
City
Petersburg
State
Illinois
Zip
62675-7013
Phone Number
217-299-7461
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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