# ELITE REGENERATIVE MEDICINE AND WOUND CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265903942
- **Authorized official:** NOAH SEITEL (MANAGER)
- **Authorized official phone:** (817) 823-9669

## Contact information

- **Practice address:** 380 E NORTHWEST HWY STE 202, DES PLAINES, IL 60016-2274
- **Practice address phone:** (817) 823-9669
- **Mailing address:** 8528 DAVIS BLVD \# 134-301, N RICHLAND HILLS, TX 76182-8367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2018
- **Last updated:** 02/21/2019