Woundoc Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WOUNDOC INC

Practice address

2115 N Winchester Ave
Chicago, IL 60614-3914

Phone

(773) 772-9830

Fax

(312) 602-5675

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David A Sullivan

Title

Administrative Officer

Phone

(773) 772-9380

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Steven R Bonomo, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1861478893
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164412334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N WINCHESTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143914",
            "telephone_number": "773-772-9830",
            "fax_number": "312-602-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N WINCHESTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143914",
            "telephone_number": "773-772-9830",
            "fax_number": "312-602-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "773-772-9380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wound Care Specialists of America Chartered
• Wound Pros Illinois
• Wound Science Specialists
• Wound100 Illinois LLC
• Wounded Hearts LLC,
• Woundtech Wound Specialist LLC
• Woven Clinics PLLC
• Woven Health LLC
• Woven Psychotherapy Chicago PLLC
• Wovenx Health, Inc

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.