Individual
JACQUELINE LEE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(703) 909-9400
Mailing address
122 S KENILWORTH AVE, OAK PARK, IL 60302-2815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4954
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
03/26/2020
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