| |
708 Washington St., Woodstock, IL 60098 | |
(815) 338-1707 | |
(815) 338-1786 |
Full Name | |
---|---|
Type | Facility |
Speciality | Public Health Or Welfare |
Location | 708 Washington St., Woodstock, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184744625 | NPI | - | NPPES |
362264411001 | Medicaid | IL | |
05615103 | Other | IL | BLUE CROSS BLUE SHIELD |
Mailing Address | Practice Location Address |
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2028 N. Seminary Ave., Woodstock, IL 60098 Ph: (815) 338-3590 | 708 Washington St., Woodstock, IL 60098 Ph: (815) 338-1707 |