| Advanced Wound Management Co | |
|
1589 Bicek Dr Hoffman Estates IL 60192-1192 | |
| (847) 204-2396 | |
| (888) 984-4244 |
| Full Name | Advanced Wound Management Co |
|---|---|
| Speciality | Clinic/Center |
| Location | 1589 Bicek Dr, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Neelu Nehls (PRESIDENT) |
| Authorized Official Contact | 8472042396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Management Co 1589 Bicek Dr Hoffman Estates IL 60192-1192 Ph: (847) 204-2396 | Advanced Wound Management Co 1589 Bicek Dr Hoffman Estates IL 60192-1192 Ph: (847) 204-2396 |
| NPI Number | 1407658545 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Medicare PECOS PAC ID | 7618481524 |
|---|---|
| Medicare Enrollment ID | O20250710002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407658545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Laurie Podeszwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990708 PECOS PAC ID: 9436342052 Enrollment ID: I20101014001391 |
| Provider Name | Solomon R Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265668750 PECOS PAC ID: 2264667096 Enrollment ID: I20131031001666 |
| Provider Name | Aundrea Gooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689061855 PECOS PAC ID: 8022349265 Enrollment ID: I20191018001894 |
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