Organization Active NPI

Woodward Medical Center, LTD

  • Internist Chiropractor
  • Woodridge, IL
National Provider Identifier
1235144957
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
042007972 Issued in IL
Legal business name
WOODWARD MEDICAL CENTER, LTD
Practice address
2007 75TH St
Woodridge, IL 60517-2308
Phone
(630) 985-4700
Fax
(630) 985-4523
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Donna De Paolo, DCNPI 1942216965
Title
Owner
Phone
(630) 985-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X 042007972 IL Primary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 042007972 IL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 042007972 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 042007972 IL

Addresses

Primary practice location

2007 75TH St
Woodridge, IL 60517-2308

Mailing address

2007 75TH St
Woodridge, IL 60517-2308
Phone (630) 985-4700

National Provider Directory

National Provider Directory

Locations

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

2007 75th St
Ste 102
Woodridge, IL 60517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1235144957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172308",
            "telephone_number": "630-985-4700",
            "fax_number": "630-985-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172308",
            "telephone_number": "630-985-4700",
            "fax_number": "630-985-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "DE PAOLO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-985-4700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "042007972",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "042007972",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "042007972",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "042007972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.