| Agape Family Wound Care Llc | |
|
4001 W Devon Ave Ste 210 Chicago IL 60646-4537 | |
| (773) 983-6204 | |
| Not Available |
| Full Name | Agape Family Wound Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 W Devon Ave Ste 210, Chicago, Illinois |
| Authorized Official Name and Position | Abdul Moghni (PRESIDENT) |
| Authorized Official Contact | 7739836204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Wound Care Llc 5800 S Park Ave Morton Grove IL 60053-3021 Ph: (773) 983-6204 | Agape Family Wound Care Llc 4001 W Devon Ave Ste 210 Chicago IL 60646-4537 Ph: (773) 983-6204 |
| NPI Number | 1770362196 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 7810348026 |
|---|---|
| Medicare Enrollment ID | O20240111002365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770362196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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