Provider Demographics
NPI:1528026580
Name:WOODS, TERENCE R (MD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:R
Last Name:WOODS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 N EDWARD ST
Mailing Address - Street 2:GSBLL
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-4163
Mailing Address - Country:US
Mailing Address - Phone:217-876-2857
Mailing Address - Fax:217-876-2874
Practice Address - Street 1:101 W MCKINLEY AVE
Practice Address - Street 2:ENTA ALLERGY, HEAD & NECK INSTITUTE
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526
Practice Address - Country:US
Practice Address - Phone:217-876-3682
Practice Address - Fax:217-876-3345
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2014-08-27
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Provider Licenses
StateLicense IDTaxonomies
IL036079080207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG28545Medicare UPIN
ILK06528Medicare ID - Type Unspecified