Individual
DR. CHERYL E WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1770
(708) 709-9200
(773) 767-3944
Mailing address
25020 NETWORK PL, CHICAGO, IL 60673-1250
(708) 709-9200
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036076317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076317
—
IL
Enumeration date
06/12/2005
Last updated
01/22/2010
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