Integrated Wound Care Illinois PLLC
General Practice in Springfield, Illinois
1700539780- Practice location
- 801 Adlai Stevenson Dr, Springfield, IL 62703-4261
- Phone
- 718-963-3495
- Fax
- —
- Last updated
- January 31, 2022
Integrated Wound Care Illinois PLLC is a healthcare organization based in Springfield, IL. Integrated Wound Care Illinois PLLC practices in Springfield, IL. The NPI Number for Integrated Wound Care Illinois PLLC is 1700539780. The current practice location address for Integrated Wound Care Illinois PLLC is 801 Adlai Stevenson Dr, Springfield, IL 62703-4261 and can be reached out via phone at 718-963-3495.
Provider Profile Details
- NPI Number
- 1700539780
- Provider Name
- Integrated Wound Care Illinois PLLC
- Provider Entity Type
- Organization
- Address
- 801 Adlai Stevenson Dr, Springfield, IL 62703-4261
- Phone Number
- 718-963-3495
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Diane Lusas · President · 718-963-3495
- Provider Enumeration Date
- January 31, 2022
- Last Update Date
- January 31, 2022
- Certification Date
- January 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 801 Adlai Stevenson Dr
Springfield, IL 62703-4261 - City
- Springfield
- State
- Illinois
- Zip
- 62703-4261
- Phone Number
- 718-963-3495
Provider Business Mailing Address Details
- Address
- 492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713 - City
- Teaneck
- State
- NJ
- Zip
- 07666-1713
- Phone Number
- 718-963-3495
License Information
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Integrated Wound Care Illinois PLLC?
The NPI number of Integrated Wound Care Illinois PLLC is 1700539780. It was assigned on January 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Integrated Wound Care Illinois PLLC?
Integrated Wound Care Illinois PLLC is registered under the primary taxonomy General Practice (code 208D00000X).
Where does Integrated Wound Care Illinois PLLC practice?
The practice location is 801 Adlai Stevenson Dr, Springfield, IL 62703-4261. The office can be reached at 718-963-3495 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700539780 directly on the NPPES registry website.