Individual
DANIEL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4002
(616) 566-7748
Mailing address
1919 N FAIRFIELD AVE APT 2, CHICAGO, IL 60647-6841
(616) 566-7748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013795
IL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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