Organization · Type 2 NPI

Wound100 Illinois LLC

Clinic/Center · Chicago, IL

NPI number 1043187040 Active

Practice location

122 S Michigan Ave Ste 1390
Chicago, IL 60603-6036

Call (402) 651-6040 Map

Fax (312) 449-6572

Mailing address

19681 Chicago St Apt A
Elkhorn, NE 68022-6525

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7 other providers at this address

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About NPI 1043187040

Wound100 Illinois LLC's National Provider Identifier is 1043187040, issued on Oct 22, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 22, 2025.