Provider Demographics
NPI:1881576189
Name:US WOUND SPECIALISTS LLC
Entity type:Organization
Organization Name:US WOUND SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-647-5203
Mailing Address - Street 1:28140 N BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-9621
Mailing Address - Country:US
Mailing Address - Phone:224-993-9042
Mailing Address - Fax:
Practice Address - Street 1:28140 N BRADLEY RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-9621
Practice Address - Country:US
Practice Address - Phone:224-993-9042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center