Individual
DR. QEENA C WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3471 GREEN BAY ROAD, NORTH CHICAGO, IL 60064-1174
(847) 473-4357
Mailing address
711 W NORTH AVE, SUITE 210, CHICAGO, IL 60610-1174
(312) 808-0018
(312) 808-0037
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-005278
IL
213E00000X
Podiatrist
07001092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633214
BCBS
IL
Enumeration date
05/11/2006
Last updated
05/23/2024
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