Idia Wound & Pain Care LLC is a Internal Medicine Physician (organization) practicing in Chicago, Illinois. The National Provider Identifier (NPI) is #1114880853, which was assigned on December 9, 2025, and the registration record was last updated on December 9, 2025. The practitioner's main practice location is at 3525 W Peterson Ave, Ste 505, Chicago, IL 60659; the contact telephone number is 7732409225. The primary taxonomy of Idia Wound & Pain Care LLC is Internal Medicine Physician (207R00000X). The authorized official for Idia Wound & Pain Care LLC is Nicholas Efosa Agbonifo (Administrator).
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.
| NPI | 1114880853 |
| Entity Type | Organization |
| Organization Name | IDIA WOUND & PAIN CARE LLC |
| Provider Name | IDIA WOUND & PAIN CARE LLC |
| Practice Address |
3525 W Peterson Ave Ste 505 Chicago IL 60659 |
| Practice Telephone | 7732409225 |
| Mailing Address |
980 N Michigan Ave Ste 1090 Chicago IL 60611-4521 |
| Mailing Telephone | 7732409225 |
| Certification Date | 2025-12-01 |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |
| Is Organization Subpart | N |
| Official Name | NICHOLAS EFOSA AGBONIFO |
| Official Title | ADMINISTRATOR |
| Telephone | 7732409225 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|
| Interval Medical PLLC | 2018 156th Ave Ne Ste 100, Bellevue, WA 98007-3825 | Internal Medicine Physician | 2026-06-04 |
| Thomas Paul Albertson Jr. | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | Internal Medicine Physician | 2026-06-04 |
| Meridian Health Medical PC | 50 Chestnut Ridge Rd Ste 130, Montvale, NJ 07645-1841 | Internal Medicine Physician | 2026-06-05 |
| Mariah Black | 2800 E Ajo Way Ste 100, Tucson, AZ 85713-6204 | Internal Medicine Physician | 2026-06-04 |
| Madison Hunter-Bazin | 101 E Wood St, Spartanburg, SC 29303-3040 | Internal Medicine Physician | 2026-06-05 |
| Art Oncology Inc | 18321 Clark St, Tarzana, CA 91356-3501 | Internal Medicine Physician | 2026-06-06 |
| New Horizon Health Medical Pa | 105 Commerce St Ste 109, Lake Mary, FL 32746-6228 | Internal Medicine Physician | 2026-06-05 |
| Hadi Abou Zeid | 1010 N Kansas St, Wichita, KS 67214-3124 | Internal Medicine Physician | 2026-06-04 |
| Healthcare Alliance PC | 23942 Lyons Ave Ste 214, Santa Clarita, CA 91321-2427 | Internal Medicine Physician | 2026-06-06 |
| Dalim Kafle | 1901 W Harrison St, Chicago, IL 60612-3714 | Internal Medicine Physician | 2026-06-04 |
| Find all providers with the same taxonomy | |||
| Street Address |
3525 W PETERSON AVE STE 505 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Debra Suzann Pentangelo | 3525 W Peterson Ave, T-17, Chicago, IL 60659-3324 | Clinical Social Worker | 2013-03-13 |
| Paulina Med Clinic | 3525 W Peterson Ave, Suite 611, Chicago, IL 60659-3324 | General Practice Physician | 2008-07-31 |
| Nexa Med Supplies Inc | 3525 W Peterson Ave Ste 113, Chicago, IL 60659-3313 | Health Service Clinic/Center | 2026-04-21 |
| Heather Lee Schulien | 3525 W Peterson Ave, Suite T-17, Chicago, IL 60659 | Clinical Social Worker | 2008-04-22 |
| Nexa Med Supplies Inc | 3525 W Peterson Ave Ste 113, Chicago, IL 60659-3313 | Durable Medical Equipment & Medical Supplies | 2026-04-13 |
| Shauna Gilman | 3525 W Peterson Ave, Chicago, IL 60659-3324 | Clinical Social Worker | 2007-03-06 |
| Syed R Ali | 3525 W Peterson Ave Ste 117, Chicago, IL 60659-3313 | Clinical Medical Laboratory | 2022-07-07 |
| Ernesto Estor | 3525 W Peterson Ave, Suite 210, Chicago, IL 60659-3324 | Family Medicine Physician | 2007-05-03 |
| Cordial Care Home Services Inc. | 3525 W Peterson Ave, Chicago, IL 60659-3324 | Home Health Agency | 2024-04-19 |
| First Choice Healthcare Services,Inc | 3525 W Peterson Ave, T-18, Chicago, IL 60659-4668 | Durable Medical Equipment & Medical Supplies | 2006-12-08 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Discover Lab Services LLC | 3209 W Bryn Mawr Ave, Chicago, IL 60659 | Clinical Medical Laboratory | 2022-01-12 |
| Go Diagnostics Inc | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2017-08-15 |
| Olivej4 Healthcare Inc | 3525 W. Peterson Avenue, Suite T10, Chicago, IL 60659 | Nursing Care Agency | 2025-08-05 |
| Maxicare Visiting Physician, Inc | 3300 W Peterson Ave, Suite H, Chicago, IL 60659 | Health Service Clinic/Center | 2017-07-18 |
| Trandai Dental Care | 3044 W. Peterson Ave, Chicago, IL 60659 | General Practice Dentistry | 2021-09-21 |
| Kara Lyn Anderson | 2551 W. Peterson Ave, Chicago, IL 60659 | Mental Health Counselor | 2019-08-01 |
| New Age Home Health | 3601 W. Devon Ave, # 108, Chicago, IL 60659 | Home Health Agency | 2012-12-19 |
| Healwell Home Health Care LLC | 5875 N Lincoln Ave, Ll 51, Chicago, IL 60659 | Home Health Agency | 2025-12-11 |
| Syedi Corporation | 3120 W Devon Ave, Chicago, IL 60659 | Durable Medical Equipment & Medical Supplies | 2025-09-16 |
| Dr Elena V Naryzhny Md Corporation | 2958 W Devon Ave, Chicago, IL 60659 | Obstetrics & Gynecology Physician | 2020-05-06 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Right To You Wound Care and Rehab Inc. | 11741 S Rosemary Ln, Alsip, IL 60803-2155 | Physical Therapist | 2026-05-04 |
| Wonder Wound Care | 314 Rosewood Ave Se, East Grand Rapids, MI 49506-1734 | Multi-Specialty Clinic/Center | 2025-08-20 |
| Crescent Wound Care Inc | 6129 Palmetto St, Philadelphia, PA 19111-5729 | Surgery Physician | 2026-03-31 |
| Premier Pain Care Pl | 1600 S. Federal Hwy, Suite 390/300, Pampano Beach, FL 33062 | Interventional Pain Medicine Physician | 2006-07-05 |
| Truly Wound Care LLC | 1735 Annandale Cir, Royal Palm Beach, FL 33411-6108 | Nurse Practitioner | 2026-05-11 |
| Pain Care At Home | 2625 State Road 590, Unit 2513, Clearwater, FL 33759 | Case Management Registered Nurse | 2026-04-10 |
| Wound Care of Idaho LLC | 1129 E 2nd St, Casper, WY 82601-2903 | Obesity Medicine (Preventive Medicine) Physician | 2026-03-31 |
| Curepoint Wound Care, LLC | 3920 Northdale Blvd, Suite 103, Tampa, FL 33624 | Geriatric Medicine (Family Medicine) Physician | 2026-04-27 |
| Wound Care Inc | 1700 Ne 106 Street, Apt 513, Miami Shore, FL 33138 | Multi-Specialty Clinic/Center | 2023-01-10 |
| Apex Wound Care Inc | 25044 Peachland Ave Ste 104, Newhall, CA 91321-5747 | Surgery Physician | 2026-05-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |