Individual
MARK W WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 PROSPECT AVE, WOOD DALE, IL 60191-2727
(630) 352-8766
Mailing address
195 PROSPECT AVE, WOOD DALE, IL 60191-2727
(630) 352-8766
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W30055991113
IL
Other
Enumeration date
05/04/2026
Last updated
05/05/2026
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