# ENCORE WOUND CARE ILLINOIS LLC

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

## Provider details

- **NPI number:** 1831079680
- **Authorized official:** TRACY WIMBERG (VP BILLING OPERATIONS)
- **Authorized official phone:** (480) 652-8748

## Contact information

- **Practice address:** 731 BAY AVE, SOMERS POINT, NJ 08244-2378
- **Practice address phone:** (440) 652-8748
- **Practice address fax:** (440) 582-3171
- **Mailing address:** 731 BAY AVE, SOMERS POINT, NJ 08244-2378
- **Mailing address phone:** (440) 652-8748
- **Mailing address fax:** (440) 582-3171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025