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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1154946903 |
| LBN Legal business name | WOUND PROS ILLINOIS |
| Authorized official | CHRISTOPHER OTIKO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/08/2020 |
| Last updated | 01/09/2023 - About 3 years ago |
| Identifiers | n/a |
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WOUND PROS ILLINOIS
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WOUND PROS ILLINOIS