Healthcare Provider Details
I. General information
NPI: 1760286595
Provider Name (Legal Business Name): WOUND CARE EXPERTS OF AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7444 W WILSON AVE
HARWOOD HEIGHTS IL
60706-4500
US
IV. Provider business mailing address
7444 W WILSON AVE
HARWOOD HEIGHTS IL
60706-4500
US
V. Phone/Fax
- Phone: 224-350-3600
- Fax: 224-350-3601
- Phone: 224-350-3600
- Fax: 224-350-3601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CATHERINE
RAE
KEATS
Title or Position: CNO
Credential: CNO
Phone: 502-322-7622