Organization
PRECISION WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH GOLDMAN (MEMBER)
(773) 543-6479
Entity
Organization
Contact information
Practice address
2833 W GREENLEAF AVE, CHICAGO, IL 60645-2913
(773) 543-6479
Mailing address
2833 W GREENLEAF AVE, CHICAGO, IL 60645-2913
(773) 543-6479
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
04/17/2018
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