Individual
DR. ANITA J. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6570 N ILLINOIS ST STE A, FAIRVIEW HEIGHTS, IL 62208-2195
(618) 628-3502
(618) 628-3515
Mailing address
1109 E 3RD ST, SUITE #5, O FALLON, IL 62269-2285
(618) 622-1684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008533
IL
Other
Enumeration date
08/20/2006
Last updated
05/25/2018
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