Provider Demographics
NPI:1619861192
Name:OMNI WOUND CONSULTING
Entity type:Organization
Organization Name:OMNI WOUND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINDUNBI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:773-551-5855
Mailing Address - Street 1:19710 GOVERNORS HWY STE 5-1189
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2080
Mailing Address - Country:US
Mailing Address - Phone:773-551-5855
Mailing Address - Fax:
Practice Address - Street 1:19710 GOVERNORS HWY STE 5-1189
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2080
Practice Address - Country:US
Practice Address - Phone:773-551-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Single Specialty