PRECISION WOUND CARE LLC (NPI# 1144769100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144769100 |
Entity Type | Organization |
Organization Name | PRECISION WOUND CARE LLC |
Practice Address |
2833 W Greenleaf Ave Chicago IL 60645-2913 |
Practice Telephone | 7735436479 |
Mailing Telephone | 7735436479 |
Enumeration Date | 2017-02-22 |
Last Update Date | 2018-04-17 |
Authorized Official Name | MR. KENNETH GOLDMAN (MEMBER) |
Authorized Official Telephone | 7735436479 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
Street Address |
2833 W GREENLEAF AVE |
City | CHICAGO |
State | IL |
Zip Code | 60645-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
Find all providers in zip 60645 |
Taxonomy Code | 163WW0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Wound Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680384 | Laportia Sims | Registered Nurse | 5241 W Quincy St, Chicago, IL 60644-4338 | 2020-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1194193920 | Bonnafe I Baticados | Registered Nurse | 3241 Justamere Rd, Woodridge, IL 60517-3759 | 2015-09-10 |
1376968891 | Agnes Chavez | Registered Nurse | 8943 Robin Dr Apt E, Des Plaines, IL 60016-5494 | 2014-02-20 |
1548387053 | Joanne M Bowen | Registered Nurse | 3605 Euclid Ave, Berwyn, IL 60402-3864 | 2007-03-22 |
1548321938 | Reeb Center for Wound Management | Registered Nurse | 325 W Prospect Ave, Suite 4, Mount Prospect, IL 60056-3141 | 2006-12-12 |
1427077387 | Kathy Ann January | Registered Nurse | 2364 Delaware Ave, Apt A, Great Lakes, IL 60088-2532 | 2006-07-19 |
1841746567 | Becky Strilko | Registered Nurse | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-09-01 |
1356797849 | Np-md Practice PC | Registered Nurse | 75 Executive Dr, Suite 104, Aurora, IL 60504-8137 | 2016-05-13 |
1063882116 | Mobile Wound Care Consultant LLC | Registered Nurse | 3241 Justamere Rd, Woodridge, IL 60517-3759 | 2015-10-01 |
1548642630 | Elaine Mercado | Registered Nurse | 4930 Fairview Ln, Skokie, IL 60077-3522 | 2015-06-24 |
Find all providers with the same taxonomy |
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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.