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Contact Information

ILLINOIS WOUND CARE CENTERS LLC
1424 N STATE ST
BELVIDERE, IL61008-2004
 Phone: 779-552-8358
 Fax: 855-552-3776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ILLINOIS WOUND CARE CENTERS LLC · (Female)

NPI # 1255912341
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2021
Last updated 04/20/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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