Provider Demographics
NPI:1003982794
Name:WOODS, MARGARET ANN (RD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:WOODS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6701 159TH ST
Mailing Address - Street 2:INGALLS OUPATIENT DIABETES MGMT CENTER
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1758
Mailing Address - Country:US
Mailing Address - Phone:708-915-7534
Mailing Address - Fax:708-915-7587
Practice Address - Street 1:1 INGALLS DR
Practice Address - Street 2:INGALLS MEMORIAL HOSPITAL
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-3558
Practice Address - Country:US
Practice Address - Phone:708-915-7534
Practice Address - Fax:708-915-7587
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL97197Medicare ID - Type Unspecified