Active NPI
New Day Wound Care of Indiana, LLC
- Nurse Practitioner
- Oak Brook, IL
National Provider Identifier
1497597058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NEW DAY WOUND CARE OF INDIANA, LLC
- Practice address
- 2021 Midwest Rd Ste 200
Oak Brook, IL 60523-1370 - Phone
- (312) 599-2555
- Fax
- (815) 846-1351
- NPI assigned
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susie Kamien
- Title
- Ceo
- Phone
- (312) 599-2555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2021 Midwest Rd Ste 200
Oak Brook, IL 60523-1370
Mailing address
2021 Midwest Rd Ste 200
Oak Brook, IL 60523-1370
Phone (312) 599-2555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1497597058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 MIDWEST RD STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231370",
"telephone_number": "312-599-2555",
"fax_number": "815-846-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 MIDWEST RD STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231370",
"telephone_number": "312-599-2555",
"fax_number": "815-846-1351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DAY WOUND CARE OF INDIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "KAMIEN",
"authorized_official_first_name": "SUSIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-599-2555"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.