William E. Woods, MDSC
Organization Active NPI Obstetrics & Gynecology Physician · Park City, IL
NPI 1467647271 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1467647271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- WILLIAM E. WOODS, MDSC
- Practice address
- 351 Greenleaf Ave
Suite a
Park City, IL 60085-5701 - Phone
- (847) 244-4110
- Fax
- (847) 244-4494
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
Authorized official
- Name
- William Earl Woods Sr., M.D.
- Title
- Medical Doctor
- Phone
- (847) 244-4110
Practitioners 5
-
Brian Saliba, MD
-
Carmen M Woods, MD
-
Nickyla Johnson, MD
-
Roshni Shah, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060125000108 | IL | Part B Supplier - Clinic/Group Practice | 5294759692 |
Receives reassigned benefits from 5 practitioners Practice locations: Park City, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | IL | Yes |
Addresses
Primary practice location
351 Greenleaf Ave
Suite a
Park City, IL 60085-5701
Mailing address
351 Greenleaf Ave
Suite a
Park City, IL 60085-5701
Phone (847) 244-4110
Other providers in Park City, IL
All providers in Park City, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.