Individual
JOYCE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 SURRYSE RD, SUITE 100, LAKE ZURICH, IL 60047-3217
(847) 438-2144
(847) 719-0335
Mailing address
350 SURRYSE RD, SUITE 100, LAKE ZURICH, IL 60047-3217
(847) 438-2144
(847) 719-0335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205977
MEDICARE PIN
IL
01
—
385000297
IL CONTROLLED SUBSTANCE#
IL
Enumeration date
04/25/2007
Last updated
08/28/2008
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