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Individual

JANE LOU WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
070019070
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070019070
STATE OF ILLINOIS
IL
Enumeration date
06/26/2012
Last updated
06/26/2012
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