Individual
THOMAS WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(779) 220-2147
Mailing address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1871943472
IL
174400000X
Specialist
—
—
Other
Enumeration date
06/15/2016
Last updated
07/30/2023
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