Individual
HEIDI WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMNP
Contact information
Practice address
111 N WABASH AVE STE 1116, CHICAGO, IL 60602-3126
(815) 942-6323
Mailing address
PO BOX 713260, CHICAGO, IL 60677-2737
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-025278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029.025278
STATE LICENSE
IL
Enumeration date
03/24/2022
Last updated
05/25/2023
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