DR. QEENA C WOODARD (NPI# 1548210339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210339 |
| Entity Type | Individual |
| Full Name | DR. QEENA C WOODARD |
| Credential | DPM |
| Practice Address |
711 W North Ave Suite 210 Chicago IL 60610-1174 |
| Practice Telephone | 3128080018 |
| Practice Fax Number | 3128080037 |
| Mailing Telephone | 3128080018 |
| Mailing Fax Number | 3128080037 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07001092A | IN | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 016-005278 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0001633214 | 01 |
| Street Address |
711 W NORTH AVE SUITE 210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730611898 | Daniella Davida Brutman | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2017-03-29 |
| 1073963344 | Ann Tran | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2016-06-17 |
| 1881049583 | Kristen Gallagher | Obstetrics & Gynecology | 711 W North Ave, Chicago, IL 60610-1174 | 2016-05-01 |
| 1215301312 | Chicago Bright Smiles | Clinic/Center | 711 W North Ave, Suite 216, Chicago, IL 60610-1174 | 2015-11-30 |
| 1487028825 | Presence Chicago Hospitals Network | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-11-23 |
| 1043694045 | Julieta Lasala | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-07-20 |
| 1376982777 | Jessica Louise Rubino | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2013-06-19 |
| 1154765790 | George Herman Roepke IIi | Family Medicine | 711 W North Ave, Suite 209, Chicago, IL 60610-1174 | 2013-04-25 |
| 1265797021 | Gary Ray Fernandez | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2012-07-09 |
| 1851653281 | Jia Yu Wang | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1770004814 | Andrew Alward | Podiatrist | 2027 W Division St # 180, Chicago, IL 60622-9024 | 2017-06-28 |
| 1043730625 | Mary Elizabeth Hickner | Podiatrist | 2751 W Winona St Apt 457, Chicago, IL 60625-2508 | 2017-06-23 |
| 1225489172 | Alison Dawn Traffanstedt Young | Podiatrist | 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 | 2016-06-22 |
| 1922454131 | Mary Cobb | Podiatrist | 1428 E 69th St, Chicago, IL 60637-4804 | 2016-05-05 |
| 1407233760 | Aaron Raestas | Podiatrist | 730 S Dearborn St # T, Chicago, IL 60605-1838 | 2015-05-06 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.