Woodstock Urgent Care and Integrated Medicine PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

036.134053 Issued in IL

Legal business name

WOODSTOCK URGENT CARE AND INTEGRATED MEDICINE PC

Practice address

131 E Calhoun St
Woodstock, IL 60098-3216

Phone

(510) 666-5062

NPI assigned

Dec 30, 2013

Last updated

Feb 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lela Iduna, MDNPI 1457487597

Title

President

Phone

(510) 666-5062

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lela Iduna, M.D.

  • Emergency Medicine Physician
  • Woodstock, IL
  • NPI 1457487597
  Authorized official Same address or phone

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1730500216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E CALHOUN ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983216",
            "telephone_number": "510-666-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E CALHOUN ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983216",
            "telephone_number": "510-666-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK URGENT CARE AND INTEGRATED MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "IDUNA",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-666-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036.134053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodstock Medical & Surgical Center, LTD
• Woodstock Nursing and Rehab Center LLC (La Bella of Woodstock)
• Woodstock School District
• Woodstock Stuttering Specialist
• Woodstock Therapist LLC
• Sandra E Woznicki, LCPC
• WRHC & RC Inc. (Woodstock Residence)
• Kristen M Young, AU.D.
• Tiffanie Ann Young, MS, RD, LDN
• Michael A Zaino, MD

• Urgent Care Clinic/Center in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.