Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Wolf

Individual provider Family Nurse Practitioner · NPI 1083017826

Bethany Wolf is a Nurse Practitioner in New Lenox, Illinois. Qualified in 2014, 12 years ago. Practices with Minuteclinic Diagnostic of Illinois PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014

Practice location Address checks out

2050 Nelson Rd
New Lenox, IL 60451-8537
Phone: (815) 557-1897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209011992 (IL)

Record details

NPI number1083017826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2014
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address2050 Nelson Rd, New Lenox, IL 60451-8537

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Minuteclinic Diagnostic Of Illinois Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in New Lenox