Healthcare Provider Details

I. General information

NPI: 1316254113
Provider Name (Legal Business Name): COMPREHENSIVE WOUND CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 LAKE COOK RD STE 406
NORTHBROOK IL
60062-1453
US

IV. Provider business mailing address

1535 LAKE COOK RD STE 406
NORTHBROOK IL
60062-1453
US

V. Phone/Fax

Practice location:
  • Phone: 478-559-7702
  • Fax: 847-563-4792
Mailing address:
  • Phone: 847-559-7702
  • Fax: 847-563-9742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036.102521
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAPHNE W DENHAM
Title or Position: OWNER
Credential: D.D.
Phone: 847-559-7702