| Family Wound Care Physicians Inc | |
|
4001 W Devon Ave Ste 210 Chicago IL 60646-4537 | |
| (773) 865-9375 | |
| Not Available |
| Full Name | Family Wound Care Physicians Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 W Devon Ave Ste 210, Chicago, Illinois |
| Authorized Official Name and Position | Rayeesa Farhath (MANAGING DIRECTOR) |
| Authorized Official Contact | 7738659375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wound Care Physicians Inc 4001 W Devon Ave Ste 210 Chicago IL 60646-4537 Ph: (773) 865-9375 | Family Wound Care Physicians Inc 4001 W Devon Ave Ste 210 Chicago IL 60646-4537 Ph: (773) 865-9375 |
| NPI Number | 1013733922 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 7719413665 |
|---|---|
| Medicare Enrollment ID | O20241216001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013733922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rodney H Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316099849 PECOS PAC ID: 9234025727 Enrollment ID: I20040223000782 |
| Provider Name | Wayne C Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699828061 PECOS PAC ID: 3971549544 Enrollment ID: I20050705000897 |
| Provider Name | Oludayo O Ojelade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245774306 PECOS PAC ID: 2163607797 Enrollment ID: I20170911000237 |
| Provider Name | Kiev Anh Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275265944 PECOS PAC ID: 4082086087 Enrollment ID: I20230220001389 |
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