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NPI Code Detail

MEDICARE: LEE WOODS LLC

MEDICARE: LEE WOODS LLC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1740041607
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEE WOODS LLC
Provider Business Mailing Address
First Line : 1225 LONGFORD CIR
Second Line :
City : ELGIN
State : IL
Zip : 60120-4829
Country : US
Telephone Number : 224-325-4185
Fax Number :
Provider Business Practice Location Address
First Line : 630 N NORTH CT UNIT 1890
Second Line :
City : PALATINE
State : IL
Zip : 60067-8122
Country : US
Telephone Number : 224-325-4185
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LARRY LEE WOODS
Credential : LCPC
Telephone Number : 224-325-4185
Provider Enumeration Date : 01/18/2024
Last Update Date : 01/18/2024

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Directions to “LEE WOODS LLC ” Practice Location

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