Individual
JENNIFER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W ARLINGTON PL APT 801, CHICAGO, IL 60614-6429
(616) 402-7013
Mailing address
550 W ARLINGTON PL APT 801, CHICAGO, IL 60614-6429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041445801
IL
163W00000X
Registered Nurse
RN1033676
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
041445801
IL
367500000X
Certified Registered Nurse Anesthetist
113372
IL
Other
Enumeration date
11/14/2016
Last updated
03/17/2018
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