Active NPI
Divine Wound Specialist L.L.C
- Geriatric Medicine (Family Medicine) Physician
- Crown Point, IN
National Provider Identifier
1902750854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- DIVINE WOUND SPECIALIST L.L.C
- Practice address
- 250 N Main St Unit 11K
Crown Point, IN 46307-3278 - Phone
- (219) 257-2252
- NPI assigned
- Feb 25, 2026
- 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
- Akeem Olasunkanmi Kareem, NP
- Title
- Ceo
- Phone
- (219) 247-1757
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
250 N Main St Unit 11K
Crown Point, IN 46307-3278
Mailing address
250 N Main St Unit 11K
Crown Point, IN 46307-3278
Phone (219) 257-2252
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Gary, IN
- NPI 1124566427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1902750854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N MAIN ST UNIT 11K",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073278",
"telephone_number": "219-257-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N MAIN ST UNIT 11K",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073278",
"telephone_number": "219-257-2252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE WOUND SPECIALIST L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-25",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "KAREEM",
"authorized_official_first_name": "AKEEM",
"authorized_official_middle_name": "OLASUNKANMI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-247-1757",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.