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General NPI Number Information
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NPI Number | 1316254113
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE WOUND CARE, LLC.
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1535 LAKE COOK RD STE 406
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City | NORTHBROOK
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State | IL
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Zip | 60062-1453
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Country | US
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Telephone | 478-559-7702
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Fax | 847-563-4792
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Provider Business Mailing Address
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Address Line | 1535 LAKE COOK RD STE 406
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City | NORTHBROOK
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State | IL
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Zip | 60062-1453
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Country | US
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Telephone | 847-559-7702
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Fax | 847-563-9742
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Authorized Official
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Title or Position | OWNER
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Name | DAPHNE W DENHAM
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Credential | D.D.
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Telephone | 847-559-7702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.102521
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License Number State | IL
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