Active NPI
Advanced Wound Consultants, Inc.
- Physical Therapy Assistant
- Berwyn, IL
National Provider Identifier
1972620458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Legal business name
- ADVANCED WOUND CONSULTANTS, INC.
- Practice address
- 3605 Euclid Ave
Berwyn, IL 60402-3864 - Phone
- (708) 484-0347
- Fax
- (708) 401-0446
- NPI assigned
- Mar 22, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Lynn Carlson
- Title
- President
- Phone
- (708) 484-0347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | IL | ||
| Physical Therapist | 225100000X | IL | ||
| Physical Therapy Assistant | 225200000X | IL | Primary |
Addresses
Primary practice location
3605 Euclid Ave
Berwyn, IL 60402-3864
Mailing address
3605 Euclid Ave
Berwyn, IL 60402-3864
Phone (708) 484-0347
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- Berwyn, IL
- NPI 1275650772
-
- Wound Care Registered Nurse
- Berwyn, IL
- NPI 1548387053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1972620458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 EUCLID AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023864",
"telephone_number": "708-484-0347",
"fax_number": "708-401-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 EUCLID AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023864",
"telephone_number": "708-484-0347",
"fax_number": "708-401-0446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED WOUND CONSULTANTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-484-0347"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
- Beamlak Dejene Adamu
- Sandra L Adan
- Addus Healthcare Inc (Addus HomeCare)
- Adelante Community Health Center
- Advanced Liver and Gastrointestinal Disease Center LLC
- Adventist Health Partners, Inc (D.O.C. Family Practice)
- Gholamali Afshang, MD
- Vivian I Agosto
- Carmina Aguilar, PTA
- Haidee Guadalupe Aguilar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.