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WOODSON CENTER FOR ADULT HEALTHCARE SC NPI 1093721219


NPI Information

NPI: 1093721219
Provider Name: WOODSON CENTER FOR ADULT HEALTHCARE SC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
316 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 709-9200
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WOODSON CENTER FOR ADULT HEALTHCARE SC is a specialist in Chicago Heights, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WOODSON CENTER FOR ADULT HEALTHCARE SC NPI is 1093721219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

316 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411-770
Phone: (708) 709-9200
Fax: (708) 756-0348

The provider's authorized official is Lynnette Mcroy .
The authorized official title is Billing Coordinator and has the following contact phone number (773) 767-3822.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036076317ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E18814MEDICARE UPINILLINOIS
2609070MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER #
3036076317MEDICAIDILLINOIS
401626967OTHERILLINOISBCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.