Mobile Woundcare Consultants

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MOBILE WOUNDCARE CONSULTANTS

Practice address

514 Teela LN
Des Plaines, IL 60016-1230

Phone

(847) 337-1397

Fax

(866) 840-2110

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Susan Ann Mack, NPNPI 1003808270

Title

President

Phone

(847) 337-1397

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Susan A Mack, APRN-FPA

  • Family Nurse Practitioner
  • Des Plaines, IL
  • NPI 1003808270
  NPD (past) Authorized official
• Pamela Marie Gossman, FNP

  • Family Nurse Practitioner
  • Palm Desert, CA
  • NPI 1922047976
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295727469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600560405",
            "telephone_number": "847-337-1397",
            "fax_number": "866-840-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 TEELA LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161230",
            "telephone_number": "847-337-1397",
            "fax_number": "866-840-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUNDCARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-337-1397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332520251001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326644911001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana Maria Florina Miroi, M.D.
• Michael A Misasi
• Joanna Missygar, PA-C
• Dhiren Valjibhai Mistry, DDS
• Christopher Mlyniec
• Hemal Modi, P.T.
• Katarzyna Modzelewski, LMT
• Mohammad Abtahi M.D.
• Nawaz Ali Mohammad
• Rahman Fazil Mohammed Abdul, M.D.

• Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Nurse Practitioner 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.