Simply Wounds and Lymphatics, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SIMPLY WOUNDS AND LYMPHATICS, PLLC

Practice address

9401 S Pulaski Rd Unit 3N
Evergreen Park, IL 60805-1924

Phone

(773) 416-9936

NPI assigned

Feb 4, 2026

Organization subpart

No

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

Authorized official

Name

Summer M JacksonNPI 1790432458

Title

Ceo

Phone

(773) 416-9936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Simply wounds and Lymphatics, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Summer Jackson, NP

  • Nurse Practitioner
  • Bellwood, IL
  • NPI 1790432458
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1073464301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S PULASKI RD UNIT 3N",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051924",
            "telephone_number": "773-416-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S PULASKI RD UNIT 3N",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051924",
            "telephone_number": "773-416-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY WOUNDS AND LYMPHATICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-416-9936"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000357580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply wounds and Lymphatics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vishakha Shah, PT
• David Shapiro, M.D.
• Kara Michele Sharp, M.S.
• Jehanzab A Siddiqui, DPM
• Roberto Luis Siller, MOTR/L
• Gurpreet Singh, APRN
• Heather Singler, PT, DPT
• Donna T Skinner, FNP
• Jarema John Skirnyk, M.D.
• Leo Skrypkun

• Nurse Practitioner in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.