| Wound Pros Illinois | |
|
4001 W Devon Ave Ste 300 Chicago IL 60646-4538 | |
| (323) 545-4030 | |
| Not Available |
| Full Name | Wound Pros Illinois |
|---|---|
| Speciality | General Practice |
| Location | 4001 W Devon Ave Ste 300, Chicago, Illinois |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Illinois 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Pros Illinois 4001 W Devon Ave Ste 300 Chicago IL 60646-4538 Ph: (323) 545-4030 |
| NPI Number | 1154946903 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154946903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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