| Organization Name: | WOODRIDGE CLINIC S.C |
| NPI Number: | 1033259395 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | UMANG S PATEL (OWNER) |
| Mailing Address: | 7530 S Woodward Ave Ste A Woodridge |
| State: | IL US |
| Postal Code: | 605173100 |
| Phone Number: | 6309101177 |
| Fax Number: | 6309104157 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 042006088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |