Organization
MICHAEL A. WOOD, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANDREW WOOD D.P.M. (PODIATRIST, PRESIDENT)
(708) 418-5551
Entity
Organization
Contact information
Practice address
10528 S EWING AVE, CHICAGO, IL 60617-6219
(773) 375-0791
(773) 734-2723
Mailing address
PO BOX 49, LANSING, IL 60438-0049
(708) 895-9000
(708) 418-0916
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
060009368
IL
Other
Enumeration date
08/30/2006
Last updated
08/11/2011
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