Organization
AGAPE FAMILY WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL MOGHNI (PRESIDENT)
(773) 983-6204
Entity
Organization
Contact information
Practice address
4001 W DEVON AVE STE 210, CHICAGO, IL 60646-4537
(773) 983-6204
Mailing address
5800 S PARK AVE, MORTON GROVE, IL 60053-3021
(773) 983-6204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
05/30/2025
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