NPIMap

Organization Active NPI

Mobile Wound Care Consultant LLC

  • Wound Care Registered Nurse
  • Woodridge, IL
National Provider Identifier
1063882116
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
041.280969 Issued in IL
Legal business name
MOBILE WOUND CARE CONSULTANT LLC
Practice address
3241 Justamere Rd
Woodridge, IL 60517-3759
Phone
(630) 544-8517
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Mrs. Bonnafe Baticados, BSN, RN, WCC
Title
Owner
Phone
(630) 544-8517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X 041.280969 IL Primary

Addresses

Primary practice location

3241 Justamere Rd
Woodridge, IL 60517-3759

Mailing address

3241 Justamere Rd
Woodridge, IL 60517-3759
Phone (630) 544-8517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1063882116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 JUSTAMERE RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173759",
            "telephone_number": "630-544-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 JUSTAMERE RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173759",
            "telephone_number": "630-544-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND CARE CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BATICADOS",
        "authorized_official_first_name": "BONNAFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-544-8517",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, WCC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": "041.280969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.