Organization Active NPI

Dufi LLC

Doing business as Midwest Wound Care of Fort Wayne

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1396432936
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DUFI LLC
Doing business as
Midwest Wound Care of Fort Wayne
Practice address
327 E Wayne St Ste 175
Fort Wayne, IN 46802-2716
Phone
(260) 420-2800
NPI assigned
Apr 24, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
David Ilo, MDNPI 1104094689
Title
Owner
Phone
(260) 417-9781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

327 E Wayne St Ste 175
Fort Wayne, IN 46802-2716

Mailing address

327 E Wayne St Ste 175
Fort Wayne, IN 46802-2716
Phone (260) 420-2800

Other names 1

  • Midwest Wound Care of Fort Wayne Doing business as

National Provider Directory

National Provider Directory

Locations

327 E Wayne St
Ste 175
Fort Wayne, IN 46802
Phone (260) 420-2800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1396432936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E WAYNE ST STE 175",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022716",
            "telephone_number": "260-420-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E WAYNE ST STE 175",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022716",
            "telephone_number": "260-420-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "ILO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-417-9781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Wound Care of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.