Organization
EVOCARE WOUND SOLUTIONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC GAZIANO MD (OWNER)
(800) 766-0666
Entity
Organization
Contact information
Practice address
400 N MAY ST STE 101, CHICAGO, IL 60642-6495
(800) 766-0666
(800) 297-0666
Mailing address
400 N MAY ST STE 101, CHICAGO, IL 60642-6495
(800) 766-0666
(800) 297-0666
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
11/12/2024
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