MEDICARE: MR. WILLIAM SCOTT WOODS M.A.

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1235317165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM SCOTT WOODS M.A.

Provider Business Mailing Address
First Line	:	5455 N SHERIDAN RD
Second Line	:	STE. 1709
City	:	CHICAGO
State	:	IL
Zip	:	60640-1958
Country	:	US
Telephone Number	:	773-944-5301
Fax Number	:	773-944-5302

Provider Business Practice Location Address
First Line	:	5455 N SHERIDAN RD
Second Line	:	STE. 1709
City	:	CHICAGO
State	:	IL
Zip	:	60640-1958
Country	:	US
Telephone Number	:	773-944-5301
Fax Number	:	773-944-5302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	02/01/2008

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