Carmen M Woods, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Park City, IL
NPI 1962402065 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1962402065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Practice address
- 351 Greenleaf Ave
Ste a
Park City, IL 60085-5701 - Phone
- (847) 244-4100
- Fax
- (847) 244-4494
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Meharry Medical College School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- William E Woods MD SC
Practice addresses (Care Compare)
351 S Greenleaf Ave
Suite a
Park City, IL 60085-5701
Phone (847) 244-4110
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Vista Medical Center East
- Advocate Condell Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000056 | IL | Practitioner - Obstetrics/Gynecology | 5991719783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097727 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William E. Woods, MDSC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mobile Anesthesiologists Chicago LLC | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Yes |
Addresses
Primary practice location
351 Greenleaf Ave
Ste a
Park City, IL 60085-5701
Mailing address
351 Greenleaf Ave
Suite a
Park City, IL 60085-5701
Phone (847) 244-4100
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 Oct 1, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.