Organization
WOUNDOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A SULLIVAN (ADMINISTRATIVE OFFICER)
(773) 772-9380
Entity
Organization
Contact information
Practice address
2115 N WINCHESTER AVE, CHICAGO, IL 60614-3914
(773) 772-9830
(312) 602-5675
Mailing address
2115 N WINCHESTER AVE, CHICAGO, IL 60614-3914
(773) 772-9830
(312) 602-5675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
10/27/2005
Last updated
08/22/2020
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