Tres Wound Care
Nursing Care in Chicago, IL. Organization (NPI-2).
NPI number1164037313
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1164037313
- Entity type
- Organization (NPI-2)
- Legal business name
- Tres Wound Care
- Organization subpart
- No
- Enumeration date
- Sep 14, 2020
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
Practice location
5241 W Quincy StChicago, IL 60644-4338
Phone 773-398-0014
Mailing address
5241 W Quincy StChicago, IL 60644-4338
Phone 773-398-0014
Authorized official
Laportia Sims
Owner/Rn
7733980014
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