Organization Active NPI

Mobile Wound Care Corp

  • Vascular Surgery Physician
  • Buffalo Grove, IL
National Provider Identifier
1811866080
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MOBILE WOUND CARE CORP
Practice address
975 Weiland Rd Unit 100
Ofc Room
Buffalo Grove, IL 60089-7053
Phone
(224) 716-3212
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Sherman KatzNPI 1588746572
Title
Owner
Phone
(224) 817-2377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

975 Weiland Rd Unit 100
Ofc Room
Buffalo Grove, IL 60089-7053

Mailing address

975 Weiland Rd Unit 100
Ofc Room
Buffalo Grove, IL 60089-7053
Phone (224) 716-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210000994 IL Part B Supplier - Clinic/Group Practice 6204320054 Receives reassigned benefits from 3 practitioners
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Locations

975 Weiland Rd
Unit 100
Buffalo Grove, IL 60089
Phone (224) 716-3212

Practitioners & affiliated clinicians

Practitioners 3

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": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1811866080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 WEILAND RD UNIT 100",
            "address_2": "OFC ROOM",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897053",
            "telephone_number": "224-716-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WEILAND RD UNIT 100",
            "address_2": "OFC ROOM",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897053",
            "telephone_number": "224-716-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-817-2377"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.