Provider Demographics
NPI:1154666840
Name:WISDOM CARE & CONSULTING SERVICES, INC
Entity Type:Organization
Organization Name:WISDOM CARE & CONSULTING SERVICES, INC
Other - Org Name:WCCS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NWAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:773-320-3199
Mailing Address - Street 1:621 PLAINFIELD RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5343
Mailing Address - Country:US
Mailing Address - Phone:630-568-5047
Mailing Address - Fax:
Practice Address - Street 1:621 PLAINFIELD RD
Practice Address - Street 2:SUITE 203
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5343
Practice Address - Country:US
Practice Address - Phone:630-568-5047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000393251J00000X
IL3000940253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care