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IDIA WOUND & PAIN CARE LLC
NPI 1114880853
Internal Medicine in Chicago, IL

Active since December 09, 2025
3525 W PETERSON AVE, STE 505, CHICAGO, IL 60659(773) 240-9225 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idia Wound & Pain Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDIA WOUND & PAIN CARE LLC (NPI 1114880853) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since December 2025. The organization lists Nicholas Efosa Agbonifo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114880853
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIDIA WOUND & PAIN CARE LLC
Location Address3525 W PETERSON AVE, STE 505Chicago, IL 60659
Mailing Address980 N Michigan Ave Ste 1090Chicago, IL 60611-4521 · (773) 240-9225
Phone(773) 240-9225
Organization SubpartNo
Authorized OfficialNicholas Efosa AgbonifoAdministrator · (773) 240-9225
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1114880853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3525 W PETERSON AVE, Chicago, IL 60659
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERNESTO ESTOR MD
Family Medicine
3525 W PETERSON AVE, SUITE 210
CHICAGO, IL 60659
Cook County (773) 293-6671
DR. JANET MARIE KUHN D.D.S.
Dentist (General Practice)
3525 W PETERSON AVE, #517
CHICAGO, IL 60659
Cook County (773) 588-2100
M & D HEALTH CARE, INC.
Community/Behavioral Health
3525 W PETERSON AVE, SUITE T-21
CHICAGO, IL 60659
Cook County (773) 583-1433
DR. RAZVAN G RENTEA MD
Family Medicine
3525 W PETERSON AVE, S.611
CHICAGO, IL 60659
Cook County (773) 583-7793
SARAH STOLLENWERK L.C.P.C
Counselor (Professional)
3525 W PETERSON AVE, T-17
CHICAGO, IL 60659
Cook County (414) 429-4604
HEATHER LEE SCHULIEN L.C.S.W.
Social Worker (Clinical)
3525 W PETERSON AVE, SUITE T-17
CHICAGO, IL 60659
Cook County (312) 498-2566
PAULINA MED CLINIC
General Practice
3525 W PETERSON AVE, SUITE 611
CHICAGO, IL 60659
Cook County (773) 583-7793
CORDIAL CARE HOME SERVICES INC.
Home Health
3525 W PETERSON AVE
CHICAGO, IL 60659
Cook County (224) 420-6505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idia Wound & Pain Care LLC's NPI number?

The NPI number for Idia Wound & Pain Care LLC is 1114880853. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is Idia Wound & Pain Care LLC located?

Idia Wound & Pain Care LLC is located at 3525 W Peterson Ave Ste 505, Chicago, IL 60659. The listed phone number is (773) 240-9225.

What is Idia Wound & Pain Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Idia Wound & Pain Care LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.