Provider Demographics
NPI:1831899954
Name:WOODFIELD FAMILY ENDODONTICS PLLC
Entity type:Organization
Organization Name:WOODFIELD FAMILY ENDODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR-DECISIONONE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-869-5857
Mailing Address - Street 1:1701 E WOODFIELD RD STE 520
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5130
Mailing Address - Country:US
Mailing Address - Phone:847-605-8880
Mailing Address - Fax:847-605-8901
Practice Address - Street 1:1701 E WOODFIELD RD STE 520
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5130
Practice Address - Country:US
Practice Address - Phone:847-605-8880
Practice Address - Fax:847-605-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty