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General NPI Number Information
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NPI Number | 1437915337
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Entity Type | Organization
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Legal Business Name | WOUND WELLNESS, PLLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 03/24/2024
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Provider Practice Location Address
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Address Line | 50 S MILWAUKEE AVE STE 103
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City | LAKE VILLA
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State | IL
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Zip | 60046-9407
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Country | US
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Telephone | 215-214-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 50 S MILWAUKEE AVE
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City | LAKE VILLA
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State | IL
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Zip | 60046-9471
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Country | US
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Telephone | 224-627-9155
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | LINDSEY TERNING
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Credential |
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Telephone | 224-627-9155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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