Individual
JAMES L WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-1544
(815) 337-4792
Mailing address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-1544
(815) 337-4792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C140113
CA
207Q00000X
Family Medicine Physician
Primary
036103007
IL
207Q00000X
Family Medicine Physician
C140113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103007
—
IL
Enumeration date
09/03/2006
Last updated
04/09/2018
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