Active NPI
Wound RX Mobile LLC
- Wound Care Registered Nurse
- Norridge, IL
National Provider Identifier
1922968478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- WOUND RX MOBILE LLC
- Practice address
- 4701 N Cumberland Ave Ste 10B
Suite 10B
Norridge, IL 60706-4277 - Phone
- (630) 670-8320
- Fax
- (708) 452-7990
- NPI assigned
- Nov 17, 2025
- 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
- Ms. Vanessa R Jackson
- Title
- Director
- Phone
- (630) 670-8320
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4701 N Cumberland Ave Ste 10B
Suite 10B
Norridge, IL 60706-4277
Mailing address
4701 N Cumberland Ave Ste 10B
Norridge, IL 60706-4277
Phone (630) 670-8320
National Provider Directory
National Provider Directory- Tax ID family
- Wound RX Mobile LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Norridge, IL
- NPI 1245100494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1922968478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N CUMBERLAND AVE STE 10B",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607064277",
"telephone_number": "630-670-8320",
"fax_number": "708-452-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N CUMBERLAND AVE STE 10B",
"address_2": "SUITE 10B",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607064277",
"telephone_number": "630-670-8320",
"fax_number": "708-452-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND RX MOBILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-670-8320",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.