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NPI Profile for KEITH M WOOD in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
VA |
261QV0200X |
| NPI Number | 1598417818 |
|
| Status | Active | |
| Credentials | MA, CRC | |
| Entity | Individual | |
| Enumeration date | 01/19/2022 | |
| Last updated | 01/19/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KEITH M WOOD, MA, CRC