Wood, Keith Michael

Wood, Keith Michael is an sole proprietor health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. He recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as his primary health care specialty. Wood, Keith Michael can be contacted via phone (312) 569-5517.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-5517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1598417818
LBN Legal business name Wood, Keith Michael
Credentials MA, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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