Active NPI
Unice Lee Woods
- Health Maintenance Organization
- Chicago, IL
National Provider Identifier
1265737670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 80 E Cermak Rd
A1
Chicago, IL 60616-2123 - Phone
- (312) 794-5193
- Fax
- (312) 794-5286
- NPI assigned
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | IL | Primary |
Addresses
Primary practice location
80 E Cermak Rd
A1
Chicago, IL 60616-2123
Mailing address
80 E Cermak Rd
A1
Chicago, IL 60616-2123
Phone (312) 794-5193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141939646 | Other | IL | TAX IDENIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1265737670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 E CERMAK RD",
"address_2": "A1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162123",
"telephone_number": "312-794-5193",
"fax_number": "312-794-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E CERMAK RD",
"address_2": "A1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162123",
"telephone_number": "312-794-5193",
"fax_number": "312-794-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "UNICE",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENIFICATION NUMBER",
"identifier": "141939646",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.