Organization
WOODRIDGE CLINIC S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMANG S PATEL (OWNER)
(630) 910-1177
Entity
Organization
Contact information
Practice address
7530 S WOODWARD AVE, STE A, WOODRIDGE, IL 60517-3100
(630) 910-1177
(630) 910-4157
Mailing address
7530 S WOODWARD AVE, STE A, WOODRIDGE, IL 60517-3100
(630) 910-1177
(630) 910-4157
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
042006088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201574
BLUE CROSS BLUE SHIELD
IL
01
—
CG1092
RAILROAD MEDICARE
IL
Enumeration date
02/07/2007
Last updated
09/12/2023
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