Individual
MS. AIMEE N WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4421
Mailing address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005734
IL
363AS0400X
Surgical Physician Assistant
085005734
IL
Other
Enumeration date
01/13/2016
Last updated
12/01/2021
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