Healthcare Provider Details

I. General information

NPI: 1215892674
Provider Name (Legal Business Name): ORION WOUND CARE OF IL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5836 LINCOLN AVE STE 200
MORTON GROVE IL
60053-3326
US

IV. Provider business mailing address

5836 LINCOLN AVE STE 200
MORTON GROVE IL
60053-3326
US

V. Phone/Fax

Practice location:
  • Phone: 773-300-9833
  • Fax: 847-628-2447
Mailing address:
  • Phone: 773-300-9833
  • Fax: 847-628-2447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SYED WARSI
Title or Position: OWNER
Credential: MD
Phone: 773-300-9833