Organization
DIVINE WOUND SPECIALIST L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKEEM OLASUNKANMI KAREEM NP (CEO)
(219) 247-1757
Entity
Organization
Contact information
Practice address
250 N MAIN ST UNIT 11K, CROWN POINT, IN 46307-3278
(219) 257-2252
Mailing address
250 N MAIN ST UNIT 11K, CROWN POINT, IN 46307-3278
(219) 257-2252
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
04/08/2026
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