# WOODLAKE OCCUPATIONAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodlake Hospital LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104699032
- **Authorized official:** CHAIM ROTTENBERG (ASSET MANAGER)
- **Authorized official phone:** (347) 522-5970

## Contact information

- **Practice address:** 1111 SUPERIOR ST STE 506, MELROSE PARK, IL 60160-4156
- **Practice address phone:** (708) 919-9900
- **Mailing address:** 150 AIRPORT RD STE 900, LAKEWOOD, NJ 08701-6988
- **Mailing address phone:** (516) 668-9675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023