| Sunshine Wounds LLC | |
|
3000 N Halsted St Ste 600 Chicago IL 60657-9269 | |
| (708) 237-9535 | |
| Not Available |
| Full Name | Sunshine Wounds LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 N Halsted St Ste 600, Chicago, Illinois |
| Authorized Official Name and Position | Rajesh Iyengar (MEMBER) |
| Authorized Official Contact | 7082379535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Wounds LLC 3000 N Halsted St Ste 600 Chicago IL 60657-9269 | Sunshine Wounds LLC 3000 N Halsted St Ste 600 Chicago IL 60657-9269 Ph: (708) 237-9535 |
| NPI Number | 1831917368 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Medicare PECOS PAC ID | 0840726212 |
|---|---|
| Medicare Enrollment ID | O20241209002302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831917368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Barry M Summers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326117383 PECOS PAC ID: 2163499518 Enrollment ID: I20040914001268 |
| Provider Name | Rajesh Iyengar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023714 PECOS PAC ID: 3274591821 Enrollment ID: I20041229000208 |
| Provider Name | Michael R Dehaan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770588287 PECOS PAC ID: 8820036387 Enrollment ID: I20050425000595 |
| Provider Name | Shawn L Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538175369 PECOS PAC ID: 8426076837 Enrollment ID: I20070314000423 |
| Provider Name | Capri M Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841640711 PECOS PAC ID: 8426336264 Enrollment ID: I20161028000648 |
| Provider Name | James M Akindunbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720712680 PECOS PAC ID: 9234513821 Enrollment ID: I20220831001232 |
| Provider Name | Daphne Erpelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396376406 PECOS PAC ID: 8022543677 Enrollment ID: I20241120000686 |
| Provider Name | Ikechukwu Kennedy Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649786138 PECOS PAC ID: 8426318965 Enrollment ID: I20250210001772 |
| Provider Name | Abbey Kate Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417629452 PECOS PAC ID: 4284025487 Enrollment ID: I20250627003680 |
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