| NPI | 1629127691 |
|---|---|
| Other Name | SA WOODSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 2080P0210X Pediatrics Pediatric Nephrology | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 2080P0216X Pediatrics Pediatric Rheumatology | |
| 2086S0120X Surgery Pediatric Surgery | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 2088P0231X Urology Pediatric Urology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-07-12 |