| Dr Kendra Suzanne Woods, MD | |
| 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 | |
| (217) 545-8000 | |
| Not Available | 
| Full Name | Dr Kendra Suzanne Woods | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 415 N 9th St Ste 2w126, Springfield, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649581570 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 197494 (Pennsylvania) | Secondary | 
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 036-142887 (Illinois) | Primary | 
| Entity Name | Siu Physicians & Surgeons Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kendra Suzanne Woods, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-3787 | Dr Kendra Suzanne Woods, MD 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 Ph: (217) 545-8000 | 
| Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Claudine Gillison,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
| Gopinathan Gangadharan Nambiar,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392 | |
| Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654 | |
| John Padanilam,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000 | |
| Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 |