Organization Active NPI

Wound100 Illinois LLC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1043187040
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WOUND100 ILLINOIS LLC
Practice address
122 S Michigan Ave Ste 1390
Chicago, IL 60603-6036
Phone
(402) 651-6040
Fax
(312) 449-6572
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Emsick
Title
Chief Transformation Officer
Phone
(402) 651-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

122 S Michigan Ave Ste 1390
Chicago, IL 60603-6036

Mailing address

19681 Chicago St Apt a
Elkhorn, NE 68022-6525

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1043187040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19681 CHICAGO ST APT A",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036036",
            "telephone_number": "402-651-6040",
            "fax_number": "312-449-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND100 ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "EMSICK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF TRANSFORMATION OFFICER",
        "authorized_official_telephone_number": "402-651-6040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.