Rd Woods MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036070390 Issued in IL

Legal business name

RD WOODS MD LLC

Doing business as

RD Woods MD LLC

Practice address

6800 Centennial Dr
Suite D
Tinley Park, IL 60477-1608

Phone

(170) 861-4152

NPI assigned

Aug 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rita Woods, MD

Title

Owner

Phone

(708) 614-1525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RD Woods MD LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1013926625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 CENTENNIAL DR",
            "address_2": "SUITE D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771608",
            "telephone_number": "170-861-4152",
            "fax_number": "177-376-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 CENTENNIAL DR",
            "address_2": "SUITE D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771608",
            "telephone_number": "170-861-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD WOODS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17086141525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036070390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070390",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RD Woods MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.