Individual
UNICE LEE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 E CERMAK RD, A1, CHICAGO, IL 60616-2123
(312) 794-5193
(312) 794-5286
Mailing address
80 E CERMAK RD, A1, CHICAGO, IL 60616-2123
(312) 794-5193
(312) 794-5286
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141939646
TAX IDENIFICATION NUMBER
IL
Enumeration date
01/14/2011
Last updated
01/14/2011
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