Organization
WOUNDTECH WOUND SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE DE LA CRUZ (OWNER)
(773) 572-5111
Entity
Organization
Contact information
Practice address
6033 N KEDZIE AVE UNIT 2, CHICAGO, IL 60659-2406
(773) 572-5111
Mailing address
6033 N KEDZIE AVE UNIT 2, CHICAGO, IL 60659-2406
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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