Healthcare Provider Details

I. General information

NPI: 1528125978
Provider Name (Legal Business Name): TERESA N. UNDERWOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERESA-TRAM N HILL M.D.

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 E 5TH ST STE 328
WASHINGTON MO
63090-3130
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 636-239-1101
  • Fax: 636-239-0250
Mailing address:
  • Phone: 636-239-1101
  • Fax: 636-239-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2024040685
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: