Search › Illinois › 152W00000X
Julie Wood, O.D
NPI 1558456061 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1450 E Main St
Carbondale, IL 62901 - Phone
- (618) 457-6440
- Fax
- (618) 549-2232
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois