Active NPI
Charles Graham Woodward, M.D.
- Occupational Medicine Physician
- Aurora, IL
National Provider Identifier
1598987463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Practice address
- 1320 N. Highland Ave.
Aurora, IL 60506 - Phone
- (630) 859-8159
- Fax
- (630) 859-8474
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | IL | Primary |
Addresses
Primary practice location
1320 N. Highland Ave.
Aurora, IL 60506
Mailing address
P.O. Box 864
St. Charles, IL 60174
Phone (630) 301-8149
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-083773 | IL | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598987463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 864",
"city": "ST. CHARLES",
"state": "IL",
"postal_code": "60174",
"telephone_number": "630-301-8149",
"fax_number": "847-697-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N. HIGHLAND AVE.",
"city": "AURORA",
"state": "IL",
"postal_code": "60506",
"telephone_number": "630-859-8159",
"fax_number": "630-859-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "CHARLES",
"middle_name": "GRAHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.