Provider Demographics
NPI:1245452432
Name:SHEILA J WOODROW PC
Entity type:Organization
Organization Name:SHEILA J WOODROW PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOODROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-875-3010
Mailing Address - Street 1:1200 E PERSHING ROAD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526
Mailing Address - Country:US
Mailing Address - Phone:217-875-3010
Mailing Address - Fax:217-875-9071
Practice Address - Street 1:1200 E PERSHING ROAD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526
Practice Address - Country:US
Practice Address - Phone:217-875-3010
Practice Address - Fax:217-875-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL914170Medicare PIN
ILT90314Medicare UPIN