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Advanced Wound Care Llc
Nurse Practitioner in Springfield, Illinois
NPI 1528084266

Advanced Wound Care Llc is a Nurse Practitioner based in Forsyth, IL. Advanced Wound Care Llc practices in Springfield, IL. The NPI Number for Advanced Wound Care Llc is 1528084266 and holds a License No. (Illinois).

The current practice location address for Advanced Wound Care Llc is 2524 Farragut Dr # C, Springfield, IL and can be reached out via phone at 217-698-3505 and via fax at 217-698-3502. You can also correspond with Advanced Wound Care Llc through the mailing address at 426 TYRONE DR, FORSYTH, IL - 62535-1069 (mailing address contact number: 217-698-3505).

Location: 2524 Farragut Dr # C, Springfield, IL, 62535-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528084266
Provider Name
Advanced Wound Care Llc
Credential
Provider Entity Type
Organization
Address
2524 Farragut Dr # C, Springfield, IL, 62535-1069
Phone Number
217-698-3505
Fax Number
217-698-3502
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528084266 01 IL NPI GROUP
05832068 01 IL BC BS OF IL
30-0024900 01 IL TAX ID
DE5770 01 IL RR MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2524 Farragut Dr # C
City
Springfield
State
Illinois
Zip
62704-8400
Phone Number
217-698-3505
Fax Number
217-698-3502
person
Provider Business Mailing Address Details
Address
2524 Farragut Dr # C
City
Springfield
State
Illinois
Zip
62704-8400
Phone Number
217-698-3505
Fax Number
217-698-3502
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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