NPI 1063784379

Wound Care Specialists of America Chartered

Organisation Plastic Surgery Physician Chicago, IL

Practice location

Address: 8222 S King Dr Suite F, Chicago, IL 60619-4964
Phone: (312) 222-0030
Fax: (773) 873-4060

Authorised official

Name: Clement S Rose
Title: Vice President
Phone: (773) 564-5444

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Illinois →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Illinois →

Registry record

NPI: 1063784379
Entity type: Organization
NPI issued: 1 Feb 2012
Record last updated: 1 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.