Organization
WOUND CARE SPECIALISTS OF AMERICA CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT S ROSE MD (VICE PRESIDENT)
(773) 564-5444
Entity
Organization
Contact information
Practice address
8222 S KING DR, SUITE F, CHICAGO, IL 60619-4964
(312) 222-0030
(773) 873-4060
Mailing address
8222 S KING DR, SUITE F, CHICAGO, IL 60619-4964
(312) 222-0030
(773) 873-4060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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