Advanced Mobile Wound Solutions LLC
Organization Active NPI Clinic/Center · Cherry Valley, IL
NPI 1821976176 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1821976176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ADVANCED MOBILE WOUND SOLUTIONS LLC
- Practice address
- 1740 S Bell School Rd Unit B
Cherry Valley, IL 61016-9388 - Phone
- (815) 218-2013
- Fax
- (815) 721-1943
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
Authorized official
- Name
- Paul Michalsen
- Title
- President
- Phone
- (815) 218-2013
Practitioners 1
-
Thomas L. Michalsen, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251203002817 | IL | Part B Supplier - Clinic/Group Practice | 0244723781 |
Receives reassigned benefits from 1 practitioner Practice locations: Cherry Valley, IL |
National Provider Directory
Locations
1740 S Bell School Rd
Unit B
Cherry Valley, IL 61016
Phone (815) 218-2013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1740 S Bell School Rd Unit B
Cherry Valley, IL 61016-9388
Mailing address
1740 S Bell School Rd Unit B
Cherry Valley, IL 61016-9388
Phone (815) 218-2013
Other providers in Cherry Valley, IL
- Wendy Ainsworth
- Align Therapeutic Massage and Personal Retreat
- Ba Dental Care
- Katherine Patricia Brauer
- Cherry Valley Fire Protection District
All providers in Cherry Valley, IL · Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.