Provider Demographics
NPI:1740022144
Name:NEW DAY WOUND CARE OF WISCONSIN, LLC
Entity type:Organization
Organization Name:NEW DAY WOUND CARE OF WISCONSIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-846-1351
Mailing Address - Street 1:2021 MIDWEST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1370
Mailing Address - Country:US
Mailing Address - Phone:815-846-1351
Mailing Address - Fax:815-846-1206
Practice Address - Street 1:2021 MIDWEST RD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1370
Practice Address - Country:US
Practice Address - Phone:815-846-1351
Practice Address - Fax:815-846-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty