NPIMap

Organization Active NPI

Personic Wound Care Illinois PLLC

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1093425399
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PERSONIC WOUND CARE ILLINOIS PLLC
Practice address
433 W Van Buren St Unit 555N
Chicago, IL 60607-0433
Phone
(251) 901-3011
Fax
(251) 901-3011
NPI assigned
Nov 29, 2022
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Syed NaqviNPI 1649624602
Title
Authorized Member
Phone
(251) 901-3011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

433 W Van Buren St Unit 555N
Chicago, IL 60607-0433

Mailing address

PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208001194 IL Part B Supplier - Clinic/Group Practice 6901278514 Receives reassigned benefits from 11 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

433 W Van Buren St
Ste 555N
Chicago, IL 60607

433 W Van Buren St
Unit 555N
Chicago, IL 60607

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1093425399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W VAN BUREN ST UNIT 555N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606070433",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONIC WOUND CARE ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "251-901-3011"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "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 May 14, 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.