WOUND PROS ILLINOIS (NPI# 1154946903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154946903 |
| Entity Type | Organization |
| Organization Name | WOUND PROS ILLINOIS |
| Practice Address |
5250 Old Orchard Rd. Suite 300 Skokie IL 60077-4462 |
| Mailing Address |
4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 |
| Practice Telephone | 3104965844 |
| Practice Fax Number | 3234339177 |
| Mailing Telephone | 8188362475 |
| Mailing Fax Number | 3234339177 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | CHRISTOPHER AYODELE OTIKO (PRESIDENT) |
| Authorized Official Telephone | 8188362475 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
5250 OLD ORCHARD RD. SUITE 300 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940058 | Alexander's Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 8052 Monticello Ave # 209, Skokie, IL 60076-3438 | 2020-01-06 |
| 1831594795 | Sage Medical Solution Inc | Durable Medical Equipment & Medical Supplies | 7450 Lincoln Ave, Suite 502, Skokie, IL 60076-3889 | 2014-11-04 |
| 1760896534 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3626 Touhy Ave, Skokie, IL 60076-3943 | 2014-06-19 |
| 1619248234 | Healthcare Billing & I.t. Services Inc | Durable Medical Equipment & Medical Supplies | 3807 Dempster St, Skokie, IL 60076-2233 | 2012-01-13 |
| 1417242116 | Allied Medical Equipment Corporation | Durable Medical Equipment & Medical Supplies | 7870b Lincoln Ave, Suite # 103, Skokie, IL 60077 | 2011-06-10 |
| 1437457280 | 1st Choice Dme Supplies, Inc | Durable Medical Equipment & Medical Supplies | 4547 Oakton St, Skokie, IL 60076-3117 | 2011-03-03 |
| 1124336615 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4009 Old Orchard Rd, Skokie, IL 60076-1001 | 2010-09-17 |
| 1811122427 | Mds Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7348 Lawndale Ave, Skokie, IL 60076-4022 | 2009-05-27 |
| 1053565457 | Duke Medical Supply Incorporated | Durable Medical Equipment & Medical Supplies | 4917 Oakton St, Skokie, IL 60077-2903 | 2008-11-11 |
| 1902963689 | In-step Mobility Products Corporation | Durable Medical Equipment & Medical Supplies | 8048 Monticello Ave, Skokie, IL 60076-3438 | 2007-01-02 |
| Find all providers in SKOKIE | ||||
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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.