Provider Demographics
NPI:1942423009
Name:WOO, JOSEPH EDDIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH EDDIE
Middle Name:C
Last Name:WOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14624 SCARBOROUGH CT PH 2
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-1026
Mailing Address - Country:US
Mailing Address - Phone:708-597-8948
Mailing Address - Fax:
Practice Address - Street 1:14624 SCARBOROUGH CT PH 2
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-1026
Practice Address - Country:US
Practice Address - Phone:708-597-8948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine