MEDICARE: CARYN E. WOODS APN-CNP

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	363L00000X	Nurse Practitioner	209013170	IL
2	363LF0000X	Family Nurse Practitioner	209.013170	IL

General Provider Information

NPI Number	:	1316317621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARYN E. WOODS APN-CNP

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-982-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W ALGONQUIN RD BLDG M
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-7373
Country	:	US
Telephone Number	:	847-618-0102
Fax Number	:

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

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	05/11/2026

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