Organization
WOUND100 ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK EMSICK (CHIEF TRANSFORMATION OFFICER)
(402) 651-6040
Entity
Organization
Contact information
Practice address
122 S MICHIGAN AVE STE 1390, CHICAGO, IL 60603-6036
(402) 651-6040
(312) 449-6572
Mailing address
19681 CHICAGO ST APT A, ELKHORN, NE 68022-6525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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