Wound Care Specialists Of America Chartered

NPI 1063784379 - Internal Medicine - 207R00000X

NPI Details
NPI 1063784379
Enumeration Date 02/01/2012
Last Updated 02/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CLEMENT S CLEMENT
Position VICE PRESIDENT
Phone (312) 222-0030
Fax (773) 873-4060
Practice Location
8222 S KING DR
SUITE F
CHICAGO IL, 60619-4964, US
Phone (312) 222-0030
Fax (773) 873-4060
Business Location
8222 S KING DR
SUITE F
CHICAGO IL, 60619-4964, US
Phone (312) 222-0030
Fax (773) 873-4060
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Wound Care Specialists Of America Chartered NPI is 1063784379, taxonomy code is 207R00000X Wound Care Specialists Of America Chartered physically located at 8222 S King Dr, Chicago IL, 60619-4964. NPI Number 1033115704 has the healthcare provider type.

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1063784379 NPI number is provided on an as is basis without warranty of any kind. 1063784379 is maintained by the National Plan & Provider Enumeration System. The contents of Wound Care Specialists Of America Chartered are for informational purposes only.