Healthcare Provider Details

I. General information

NPI: 1255304382
Provider Name (Legal Business Name): WIN CARE MEDICAL CONSULTANTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 N PAULINA ST STE 501
CHICAGO IL
60640-2772
US

IV. Provider business mailing address

PO BOX 26975
JACKSONVILLE FL
32226-6975
US

V. Phone/Fax

Practice location:
  • Phone: 773-599-4363
  • Fax: 773-599-4788
Mailing address:
  • Phone: 904-503-1132
  • Fax: 888-886-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ORVILLE C ROSE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 904-503-1132