Look up the most recent NPI and PECOS records

Elizabeth Woodley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1969 W Ogden Ave, Chicago, IL 60612-3765

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Woodley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1477297315
Provider Type
Individual
Full Name
Woodley, Elizabeth
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/26/2022
Last Updated
9/16/2022

Contact Information

Practice Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-6000

Unlisted Fax

Mailing Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-7776

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Elizabeth Woodley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Darby, Darchell

Blumstein, Alyssa

Saulnier, Matthew James

Miller, Barbara June

Rogowski, Wendy Ann

Arens, Stacy Lynn

Golon, Jeremy Daniel

Slocombe, Kaitlin Rea

El, Katherine

Shah, Palak K.