institution
Woodridge Clinic S.c
Adult Medicine Physician in Woodridge, Illinois
NPI 1033259395

Woodridge Clinic S.c is an Adult Medicine Physician based in Woodridge, IL and is specialized in Adult Medicine. Woodridge Clinic S.c practices in Woodridge, IL. The NPI Number for Woodridge Clinic S.c is 1033259395 and holds a License No. 042006088 (Illinois).

The current practice location address for Woodridge Clinic S.c is 7530 S Woodward Ave, Woodridge, IL and can be reached out via phone at 630-910-1177 and via fax at 630-910-4157.

Location: 7530 S Woodward Ave, Woodridge, IL, 60517-3100
institution
Provider Profile Details
NPI Number
1033259395
Provider Name
Woodridge Clinic S.c
Credential
Provider Entity Type
Organization
Address
7530 S Woodward Ave, Woodridge, IL, 60517-3100
Phone Number
630-910-1177
Fax Number
630-910-4157
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG1092 01 IL RAILROAD MEDICARE
2201574 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7530 S Woodward Ave
City
State
Zip
60517-3100
Phone Number
630-910-1177
Fax Number
630-910-4157
person
Provider Business Mailing Address Details
Address
7530 S Woodward Ave
City
State
Zip
60517-3100
Phone Number
630-910-1177
Fax Number
630-910-4157
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
042006088 (Illinois)
Definition
Definition to come.
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