Individual
HEIDI L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-4936
(217) 788-3000
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.012618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.340815
RN LICENSE
IL
Enumeration date
02/04/2015
Last updated
08/09/2024
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