MEDICARE: WOUND CARE EXPERTS OF AMERICA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1760286595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND CARE EXPERTS OF AMERICA LLC

Provider Business Mailing Address
First Line	:	7444 W WILSON AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4500
Country	:	US
Telephone Number	:	224-350-3600
Fax Number	:	224-350-3601

Provider Business Practice Location Address
First Line	:	7444 W WILSON AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4500
Country	:	US
Telephone Number	:	224-350-3600
Fax Number	:	224-350-3601

Authorized Official
Title or Position	:	CNO
Name	:	MS. CATHERINE RAE KEATS
Credential	:	CNO
Telephone Number	:	502-322-7622

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	12/11/2025

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