NPI Code Detail JSON Logo

1245124247 NPI number — OMNI WOUND PHYSICIANS IL, PLLC

NPI Number: 1245124247
Health Care Provider/Practitioner: OMNI WOUND PHYSICIANS IL, PLLC

Information about “1245124247” NPI (OMNI WOUND PHYSICIANS IL, PLLC) exists in 1245124247 in HTML format HTML  |  1245124247 in plain Text format TXT  |  1245124247 in PDF (Portable Document Format) PDF  |  1245124247 in an XML format XML  formats.

NPI Number : 1245124247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245124247",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OMNI WOUND PHYSICIANS IL, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25044 PEACHLAND AVE STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWHALL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91321-5730",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10 S RIVERSIDE PLZ",
    "SecondLinePracticeLocationAddress": "# 8076",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60606-3728",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-228-3538",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/04/2025",
    "LastUpdateDate": "06/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OKPARA",
    "AuthorizedOfficialFirstName": "OKEMEFUNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT & CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "213-228-3538",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.