Woodson, Cheryl E
Woodson, Cheryl E is an sole proprietor health care provider with primary practice located at 316 Dixie Hwy , Chicago Heights IL 60411-1770. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Woodson, Cheryl E can be contacted via phone (708) 709-9200.Contact Information
Primary practice address
316 Dixie Hwy
Chicago Heights IL 60411-1770
Phone: (708) 709-9200
Fax: (773) 767-3944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036076317 | Illinois |
Profile Details
| NPI number | 1093719569 |
|---|---|
| LBN Legal business name | Woodson, Cheryl E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2005 |
| Last updated | Jan 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093719569 | NPPES |
| Illinois | MEDICAID | 036076317 |
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