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

Keaton Lawson Wolf

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497478242

Keaton Lawson Wolf is a Physician Assistant in Roscoe, Illinois. Qualified in 2023, 3 years ago. Practices with Swedishamerican Hospital, a 387-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4282 E Rockton Rd
Roscoe, IL 61073-7420
Phone: (779) 696-9000
Show map & directions

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

Additional practice locations (1)

  • 2000 University Ave, Dubuque, IA 52001-5050 — (563) 589-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497478242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address2000 University Ave, Dubuque, IA 52001-5050

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roscoe