ADVANCED WOUND CONSULTANTS, INC. (NPI# 1972620458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620458 |
| Entity Type | Organization |
| Organization Name | ADVANCED WOUND CONSULTANTS, INC. |
| Practice Address |
3605 Euclid Ave Berwyn IL 60402-3864 |
| Practice Telephone | 7084840347 |
| Practice Fax Number | 7084010446 |
| Mailing Telephone | 7084840347 |
| Mailing Fax Number | 7084010446 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBIN LYNN CARLSON (PRESIDENT) |
| Authorized Official Telephone | 7084840347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WW0000X |
Registered Nurse Specialization: Wound Care |
IL | Nursing Service Providers | |
| X | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 225200000X | Physical Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3605 EUCLID AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548387053 | Joanne M Bowen | Registered Nurse | 3605 Euclid Ave, Berwyn, IL 60402-3864 | 2007-03-22 |
| 1275650772 | Robin Lynn Carlson | Physical Therapist | 3605 Euclid Ave, Berwyn, IL 60402-3864 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548387053 | Joanne M Bowen | Registered Nurse | 3605 Euclid Ave, Berwyn, IL 60402-3864 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680384 | Laportia Sims | Registered Nurse | 5241 W Quincy St, Chicago, IL 60644-4338 | 2020-08-23 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1144769100 | Precision Wound Care LLC | Registered Nurse | 2833 W Greenleaf Ave, Chicago, IL 60645-2913 | 2017-02-22 |
| 1194193920 | Bonnafe I Baticados | Registered Nurse | 3241 Justamere Rd, Woodridge, IL 60517-3759 | 2015-09-10 |
| 1376968891 | Agnes Chavez | Registered Nurse | 8943 Robin Dr Apt E, Des Plaines, IL 60016-5494 | 2014-02-20 |
| 1548321938 | Reeb Center for Wound Management | Registered Nurse | 325 W Prospect Ave, Suite 4, Mount Prospect, IL 60056-3141 | 2006-12-12 |
| 1427077387 | Kathy Ann January | Registered Nurse | 2364 Delaware Ave, Apt A, Great Lakes, IL 60088-2532 | 2006-07-19 |
| 1841746567 | Becky Strilko | Registered Nurse | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-09-01 |
| 1356797849 | Np-md Practice PC | Registered Nurse | 75 Executive Dr, Suite 104, Aurora, IL 60504-8137 | 2016-05-13 |
| 1063882116 | Mobile Wound Care Consultant LLC | Registered Nurse | 3241 Justamere Rd, Woodridge, IL 60517-3759 | 2015-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.