Advanced Wound Care LLC
Organization Active NPI Nurse Practitioner · Springfield, IL
NPI 1528084266 · NPPES record last updated Jan 16, 2008
Key facts
- NPI
- 1528084266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ADVANCED WOUND CARE LLC
- Practice address
- 2524 Farragut Dr # C
Springfield, IL 62704-8400 - Phone
- (217) 698-3505
- Fax
- (217) 698-3502
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Roxanne Leisky, NP CWC
- Title
- Owner
- Phone
- (217) 698-3505
Practitioners 2
-
Linda J Biddison, AP RN, BC
National Provider Directory
Locations
2524 Farragut Dr
#C
Springfield, IL 62704
Phone (217) 698-3505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2524 Farragut Dr # C
Springfield, IL 62704-8400
Mailing address
426 Tyrone Dr
Forsyth, IL 62535-1069
Phone (217) 698-3505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528084266 | Other | IL | NPI GROUP |
| 05832068 | Other | IL | BC BS OF IL |
| 30-0024900 | Other | IL | TAX ID |
| DE5770 | Other | IL | RR MEDICARE GROUP NUMBER |
Other providers in Springfield, IL
- Advanced Dental Care of Springfield LLP
- Advanced Foot & Ankle Care, LTD
- Advanced Healthcare Services, LLC
- Advanced Healthcare Services, LLC
- Advanced Medical Transport of Springfield Inc
- Aegis Group Practice LLC
- Aegis Royalty Care
- Dylan Robert Afeld
- Robin J Afeld
- Affinity Health Home, LLC
All providers in Springfield, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.