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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WOODRIDGECLINIC S.C

Deactivated Organization

General Practice · LOMBARD, IL

This NPI has been deactivated. The record was deactivated on September 5, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1356507834
Provider Type
Organization
NPI Issued
Aug 4, 2008 (15.087431693989 yrs)
Last Updated
Oct 20, 2023
Deactivated
Sep 5, 2023
Licenses
042-0060088 (IL)
042-0060088 (IL)
042-006088 (IL)

Practice Information

Address
805 S MAIN ST
LOMBARD, IL, 601483300
Browse IL providers · Browse ZIP 60148
Phone
6306206225
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.