Provider Demographics
NPI:1699574392
Name:ABOVE AND BEYOND WOUND CARE LLC
Entity type:Organization
Organization Name:ABOVE AND BEYOND WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CADET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-214-4232
Mailing Address - Street 1:636 S RIVER RD STE 304
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4624
Mailing Address - Country:US
Mailing Address - Phone:224-214-4232
Mailing Address - Fax:224-537-0020
Practice Address - Street 1:636 S RIVER RD STE 304
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4624
Practice Address - Country:US
Practice Address - Phone:224-214-4232
Practice Address - Fax:224-537-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty