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NORTH SHORE WOUND CENTER LTD NPI 1023550811


NPI Information

NPI: 1023550811
Provider Name: NORTH SHORE WOUND CENTER, LTD
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 14D0414192

Address:
9631 GROSS POINT RD
STE.107
SKOKIE, IL
ZIP 60076
Phone: (224) 534-7167
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NORTH SHORE WOUND CENTER, LTD is a medical specialty clinic center in Skokie, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTH SHORE WOUND CENTER, LTD NPI is 1023550811. The provider is registered as an organization entity type.

The provider's business location address is:

9631 GROSS POINT RD
STE.107
SKOKIE, IL
ZIP 60076-264
Phone: (224) 534-7167
Fax: (847) 677-4717

The provider's authorized official is Vladimir Urbin .
The authorized official title is President and has the following contact phone number (224) 534-7167.

The CLIA number assigned to this NPI record is 14D0414192 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty036.134524ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.