Simply Wounds Advanced Wound Care

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

SIMPLY WOUNDS ADVANCED WOUND CARE

Practice address

11638 S Pulaski Rd Ste B
Alsip, IL 60803-1622

Phone

(773) 484-6042

Fax

(534) 429-4415

NPI assigned

Jan 3, 2025

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Iesha Nwagwu, NURSE PRACTITIONER

Title

Owner

Phone

(773) 484-6042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iesha Coleman-Nwagwu, APN

  • Family Nurse Practitioner
  • Alsip, IL
  • NPI 1477094092
  Medicare reassignment NPD
• Ginger Dean, APRN

  • Adult Health Nurse Practitioner
  • South Chicago Heights, IL
  • NPI 1659830057
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1013726058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622007",
            "telephone_number": "773-484-6042",
            "fax_number": "534-429-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 S PULASKI RD STE B",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031622",
            "telephone_number": "773-484-6042",
            "fax_number": "534-429-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY WOUNDS ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-484-6042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sertoma Centre, Inc.
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• Sertoma Star Services, Inc.
• Sertoma Star Services, Inc.
• Naim Shuaipaj, DMD
• John R Sintich
• Hayley Skabelund, PA-C
• Cheryl Smith
• Oluwatomi Sogebi
• Solid Ground Behavioral Services

• Wound Care Registered Nurse in Alsip, IL
• Providers in Alsip, IL by specialty
• Wound Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.