Individual
MR. STEVEN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2202 HARLEM RD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 636-6125
Mailing address
1142 UNIVERSITY PKWY, ROCKTON, IL 61072-9403
(435) 669-7671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041478001
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209020676
IL
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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