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General NPI Number Information
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NPI Number | 1902619687
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Entity Type | Organization
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Legal Business Name | WOUND CARE DONE WRIGHT, LTD
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 4021 W 63RD ST STE C
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City | CHICAGO
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State | IL
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Zip | 60629-4642
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Country | US
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Telephone | 773-750-2571
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Fax | 866-303-0869
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Provider Business Mailing Address
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Address Line | 1435 S PRAIRIE AVE UNIT R
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City | CHICAGO
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State | IL
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Zip | 60605-2954
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Country | US
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Telephone | 773-750-2571
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELE WRIGHT
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Credential |
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Telephone | 773-750-2571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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