Idia Wound & Pain Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IDIA WOUND & PAIN CARE LLC

Practice address

3525 W Peterson Ave
Ste 505
Chicago, IL 60659

Phone

(773) 240-9225

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Efosa Agbonifo

Title

Administrator

Phone

(773) 240-9225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1114880853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1090",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114521",
            "telephone_number": "773-240-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE",
            "address_2": "STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-240-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDIA WOUND & PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "EFOSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-240-9225"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idhs Chicago Read MHC
• Idhs Chicago Read MHC
• Idhs Chicago Read MHC
• Idhs Chicago Read MHC
• Idhs-Chicago Read MHC
• Ufuoma Chinenye Idjesa Sr.
• Alicia Elena Idler Perez, M.D.
• Mary Kaylle Idor
• Folashade Idowu
• Olumuyiwa Idowu, M.D.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.