Active NPI
Wound Care Specialists of America Chartered
- Plastic Surgery Physician
- Chicago, IL
National Provider Identifier
1063784379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- WOUND CARE SPECIALISTS OF AMERICA CHARTERED
- Practice address
- 8222 S King Dr
Suite F
Chicago, IL 60619-4964 - Phone
- (312) 222-0030
- Fax
- (773) 873-4060
- NPI assigned
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clement S Rose, MD
- Title
- Vice President
- Phone
- (773) 564-5444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
8222 S King Dr
Suite F
Chicago, IL 60619-4964
Mailing address
8222 S King Dr
Suite F
Chicago, IL 60619-4964
Phone (312) 222-0030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1063784379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8222 S KING DR",
"address_2": "SUITE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606194964",
"telephone_number": "312-222-0030",
"fax_number": "773-873-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8222 S KING DR",
"address_2": "SUITE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606194964",
"telephone_number": "312-222-0030",
"fax_number": "773-873-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE SPECIALISTS OF AMERICA CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "CLEMENT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "773-564-5444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.