| Rd Woods Md Llc | |
|
6800 Centennial Dr Suite D Tinley Park IL 60477-1608 | |
| (170) 861-4152 | |
| Not Available |
| Full Name | Rd Woods Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6800 Centennial Dr, Tinley Park, Illinois |
| Authorized Official Name and Position | Rita Woods (OWNER) |
| Authorized Official Contact | 17086141525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rd Woods Md Llc 6800 Centennial Dr Suite D Tinley Park IL 60477-1608 Ph: (170) 861-4152 | Rd Woods Md Llc 6800 Centennial Dr Suite D Tinley Park IL 60477-1608 Ph: (170) 861-4152 |
| NPI Number | 1013926625 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 03/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013926625 | NPI | - | NPPES |
| 036070390 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036070390 (Illinois) | Primary |
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