Individual
DR. CARSON WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPHIL
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4533
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036164469
IL
Other
Enumeration date
12/28/2016
Last updated
12/16/2025
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