DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CARSON WOODBURY MD, MPHIL

MEDICARE: DR. CARSON WOODBURY MD, MPHIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician036164469IL

General Provider Information

NPI Number : 1568907632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARSON WOODBURY MD, MPHIL
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-4533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2016
Last Update Date : 12/16/2025

Similar Medicare Providers

1710271341 — DR. MARIAN GISELLE ACEVEDO ALVAREZ MD
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1912227463 — DR. TANAKA JUNIOR DUNE
Practice Location Address:
2160 S 1ST AVE , LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL
60153
Practice Phone: 708-216-0000
Practice Fax:
1780301028 — DR. NICHOLAS IDEN DNP
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 888-584-7888
Practice Fax:
1033790910 — MINH THU NGOC NGUYEN DO
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1427913086 — MEGHAN CICHOCKI
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 888-548-7888
Practice Fax:
1750246286 — JESSICA HELON
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-3229
Practice Fax:

Directions to “ DR. CARSON WOODBURY MD, MPHIL” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.