| Midwest Wound Care | |
|
1190 Lily Cache Ln Apt 103 Bolingbrook IL 60490-3284 | |
| (630) 731-4492 | |
| Not Available |
| Full Name | Midwest Wound Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1190 Lily Cache Ln Apt 103, Bolingbrook, Illinois |
| Authorized Official Name and Position | Ruth Odamtten (PRESIDENT) |
| Authorized Official Contact | 6307314492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Wound Care 1190 Lily Cache Ln Apt 103 Bolingbrook IL 60490-3284 Ph: (630) 731-4492 | Midwest Wound Care 1190 Lily Cache Ln Apt 103 Bolingbrook IL 60490-3284 Ph: (630) 731-4492 |
| NPI Number | 1538976873 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 3173052719 |
|---|---|
| Medicare Enrollment ID | O20250127000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538976873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Taryrsha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821552761 PECOS PAC ID: 7911246368 Enrollment ID: I20190228002263 |
| Provider Name | Marlin Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998258 PECOS PAC ID: 0345654547 Enrollment ID: I20210129001477 |
| Provider Name | Monica Medrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821655663 PECOS PAC ID: 4082949433 Enrollment ID: I20220721002687 |
Adventist Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd, Ste 200, Bolingbrook, IL 60440 Phone: 630-312-7865 | |
Adventist Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 Remington Blvd, Ste 100, Bolingbrook, IL 60440 Phone: 630-759-4800 Fax: 630-759-6927 | |
Sabs Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 S Weber Rd, Suite A, Bolingbrook, IL 60490 Phone: 630-544-7283 Fax: 708-221-6631 | |
Home Visiting Doctors Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 White Oak Rd, Bolingbrook, IL 60440 Phone: 847-407-9676 Fax: 240-368-1235 | |
Premier Medical Care, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 E Boughton Rd, # 140, Bolingbrook, IL 60440 Phone: 630-972-0733 | |
Eagle Eye Healthcare Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Remington Blvd Ste G3, Bolingbrook, IL 60440 Phone: 630-470-5221 | |
Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440 Phone: 630-914-2468 |