Organization Active NPI

New Day Wound Care of Indiana, LLC

  • Nurse Practitioner
  • Oak Brook, IL
National Provider Identifier
1497597058
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Jun 12, 2024

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.