Individual
BRIDGET KERN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 N BROADWAY ST, CHICAGO, IL 60640-3604
(773) 489-7304
Mailing address
1103 MARENGO AVE, FOREST PARK, IL 60130-2349
(708) 828-0851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.424604
IL
363LF0000X
Family Nurse Practitioner
Primary
209.022190
IL
Other
Enumeration date
04/20/2020
Last updated
07/06/2022
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