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Individual

ELLIOT NEIL WOOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 PARK PLACE, SWANSEA, IL 62226
(618) 233-7711
(618) 233-3879
Mailing address
6 PARK PLACE, SWANSEA, IL 62226
(618) 233-7711
(618) 233-3879

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-66611
IL
Enumeration date
09/28/2006
Last updated
07/08/2007
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