Ec Physician And Wound Specialist LLC
Internal Medicine in Lake Forest, IL. Organization (NPI-2).
NPI number1689165490
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1689165490
- Entity type
- Organization (NPI-2)
- Legal business name
- Ec Physician And Wound Specialist LLC
- Organization subpart
- No
- Enumeration date
- May 29, 2018
- Last updated
- Aug 14, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036076935 | IL | Yes |
Practice location
1000 N Westmoreland RdLake Forest, IL 60045
Phone 847-535-7600
Mailing address
625 Glendale DrGlenview, IL 60025-4412
Phone 847-998-0862
Authorized official
Elisabeth Kerns Cormier
Physician
8479980862
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