Provider Demographics
NPI:1134164684
Name:WOUNDCARE UNLIMITED
Entity type:Organization
Organization Name:WOUNDCARE UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GOSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:847-397-1215
Mailing Address - Street 1:435 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2716
Mailing Address - Country:US
Mailing Address - Phone:847-397-1215
Mailing Address - Fax:847-397-1216
Practice Address - Street 1:2040 E ALGONQUIN RD
Practice Address - Street 2:SUITE 504
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4187
Practice Address - Country:US
Practice Address - Phone:847-397-1215
Practice Address - Fax:847-397-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty