Healthcare Provider Details

I. General information

NPI: 1932080470
Provider Name (Legal Business Name): MENDWELL WOUNDCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 W ARMITAGE AVE
CHICAGO IL
60622-1176
US

IV. Provider business mailing address

1919 W ARMITAGE AVE
CHICAGO IL
60622-1176
US

V. Phone/Fax

Practice location:
  • Phone: 773-466-2625
  • Fax: 847-262-3131
Mailing address:
  • Phone: 773-466-2625
  • Fax: 847-262-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 847-420-6853