MEDICARE: EVERWELL WOUND CARE PROFESSIONAL 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1821940503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERWELL WOUND CARE PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	1440 W TAYLOR ST # 590
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4623
Country	:	US
Telephone Number	:	888-383-7931
Fax Number	:	888-383-7991

Provider Business Practice Location Address
First Line	:	27353 N OAKLEAF CT
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-9580
Country	:	US
Telephone Number	:	888-383-7931
Fax Number	:	888-383-7991

Authorized Official
Title or Position	:	OWNER
Name	:	ABBY ELIZABETH MCMAHON
Credential	:	FNP-BC
Telephone Number	:	888-383-7931

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	03/13/2026

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