Archos Wound Specialists Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARCHOS WOUND SPECIALISTS INC

Practice address

2720 S River Rd Ste 4
Des Plaines, IL 60018-4109

Phone

(708) 305-6086

NPI assigned

Jan 16, 2023

Last updated

Nov 15, 2024By 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

Miss Vanessa Adraneda, RN

Title

Practice Manager

Phone

(847) 800-0957

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 3

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.

• Robert Esguerra, APRN

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1043026826

  Multi-Specialty

  NPD
• Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Crete, IL
  • NPI 1346770914
  NPD
• Stephanie M Howard, FNP-C

  • Family Nurse Practitioner
  • Merrillville, IN
  • NPI 1821574187
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1497460489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 MAIN ST",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172131",
            "telephone_number": "847-800-0957",
            "fax_number": "847-972-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 4",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184109",
            "telephone_number": "708-305-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Main St",
            "address_purpose": "LOCATION",
            "city": "Crete",
            "state": "IL",
            "postal_code": "604172131",
            "country_code": "US",
            "telephone_number": "847-800-0957",
            "fax_number": "847-972-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHOS WOUND SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ADRANEDA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-800-0957",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE FILE NUMBER",
            "identifier": "74037844",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@archosmedical.com",
            "affiliation": "N",
            "address_1": "1328 Main St",
            "city": "Crete",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604172131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.