Woodward Comprehensive Medical

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036119743 Issued in IL

Legal business name

WOODWARD COMPREHENSIVE MEDICAL

Practice address

2005 W. 75TH Street
Woodridge, IL 60517-2308

Phone

(630) 985-4700

Fax

(630) 985-4523

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William C. Campbell, D.O.

Title

Owner

Phone

(630) 985-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1861804015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W. 75TH STREET",
            "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": "2005 W. 75TH STREET",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172308",
            "telephone_number": "630-985-4700",
            "fax_number": "630-985-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD COMPREHENSIVE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-985-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036119743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.