MEDICARE: DANIEL WOODS MD

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	207Q00000X	Family Medicine Physician	036103781	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942276159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WOODS MD

Provider Business Mailing Address
First Line	:	421 W EXCHANGE ST
Second Line	:	PO BOX 268
City	:	FREEPORT
State	:	IL
Zip	:	61032-4030
Country	:	US
Telephone Number	:	815-599-7958
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 CHICAGO AVE
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-1716
Country	:	US
Telephone Number	:	815-273-3323
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	10/26/2017

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