Individual
DANEEN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 W DIVISION ST, CHICAGO, IL 60651-1631
(773) 252-3122
(773) 252-4538
Mailing address
4401 W DIVISION ST, CHICAGO, IL 60651-1631
(773) 252-3122
(773) 252-4538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-098485
IL
208000000X
Pediatrics Physician
036-098485
IL
Other
Enumeration date
10/02/2006
Last updated
06/07/2012
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