Woundcare at Home

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

060008633 Issued in IL

Legal business name

WOUNDCARE AT HOME

Practice address

514 Teela LN
Des Plaines, IL 60016-1230

Phone

(847) 337-1396

Fax

(888) 845-9162

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Susan A Mack, APNNPI 1003808270

Title

President

Phone

(847) 337-1396

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan A Mack, APRN-FPA

  • Family Nurse Practitioner
  • Des Plaines, IL
  • NPI 1003808270
  NPD (past) Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1902844400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 TEELA LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161230",
            "telephone_number": "847-337-1396",
            "fax_number": "888-845-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 TEELA LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161230",
            "telephone_number": "847-337-1396",
            "fax_number": "888-845-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDCARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-337-1396",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "060008633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332520251001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven B Wolf, M.D.
• Amy Beth Wolok, PSYD
• Catherine M Wood, LCSW, CADC, ADS
• Zoe Isabella Wood, MD
• Wound Healing Solutions Inc
• Sylvia Maria Wozniczka, PHARMD
• Latisha Wright
• Harold Orville Wyckoff Jr., D.D.S.
• George J Wyhinny, MD
• Patrica P Wyhinny, MD

• Family Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.