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Contact Information

MOBILE WOUND CARE CONSULTANT LLC
3241 JUSTAMERE RD
WOODRIDGE, IL60517-3759
 Phone: 630-544-8517
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for MOBILE WOUND CARE CONSULTANT LLC

NPI Number 1063882116
LBN Legal business name MOBILE WOUND CARE CONSULTANT LLC
Authorized official BONNAFE BATICADOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2015
Last updated 10/01/2015 - About 11 years ago
Identifiers
IL License # 041.280969
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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