| Beyond Wound Care Inc | |
|
1320 Tower Rd Ste 136 Schaumburg IL 60173-4309 | |
| (847) 873-8693 | |
| (847) 873-8486 |
| Full Name | Beyond Wound Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1320 Tower Rd Ste 136, Schaumburg, Illinois |
| Authorized Official Name and Position | Genelyn Balmeo (MANAGING DIRECTOR) |
| Authorized Official Contact | 8478738693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Wound Care Inc 1320 Tower Rd Ste 136 Schaumburg IL 60173-4309 Ph: (847) 873-8693 | Beyond Wound Care Inc 1320 Tower Rd Ste 136 Schaumburg IL 60173-4309 Ph: (847) 873-8693 |
| NPI Number | 1265263677 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 2365970092 |
|---|---|
| Medicare Enrollment ID | O20250109000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265263677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William H Mollohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720006919 PECOS PAC ID: 7618878463 Enrollment ID: I20040512001121 |
| Provider Name | James Rex Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861503468 PECOS PAC ID: 6507969748 Enrollment ID: I20080906000163 |
| Provider Name | Michelle A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316657752 PECOS PAC ID: 3971973579 Enrollment ID: I20221222001633 |
| Provider Name | Dean Michael Villon Gorospe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265117204 PECOS PAC ID: 1759742943 Enrollment ID: I20230803004107 |
| Provider Name | Ria Anne Vierneza Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447071550 PECOS PAC ID: 9234659319 Enrollment ID: I20250219002099 |
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