| Illinois Wound Care Centers Llc | |
|
1424 N State St Belvidere IL 61008-2004 | |
| (779) 552-8358 | |
| (855) 552-3776 |
| Full Name | Illinois Wound Care Centers Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 1424 N State St, Belvidere, Illinois |
| Authorized Official Name and Position | Christopher Parrett (MEMBER) |
| Authorized Official Contact | 7795528358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Wound Care Centers Llc 1424 N State St Belvidere IL 61008-2004 Ph: (779) 552-8358 | Illinois Wound Care Centers Llc 1424 N State St Belvidere IL 61008-2004 Ph: (779) 552-8358 |
| NPI Number | 1255912341 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6800280165 |
|---|---|
| Medicare Enrollment ID | O20220302001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255912341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Primary |
| Provider Name | Robert Yee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487720579 PECOS PAC ID: 5890686240 Enrollment ID: I20040324000016 |
| Provider Name | Laurie Podeszwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990708 PECOS PAC ID: 9436342052 Enrollment ID: I20101014001391 |
| Provider Name | Lisa Marie Loring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685134 PECOS PAC ID: 8820341118 Enrollment ID: I20181103000121 |
Preston Scott Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Pierce Ct, Belvidere, IL 61008 Phone: 815-547-9737 Fax: 815-547-9740 | |
Shobha S Iyengar, Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2186 Unit 1, North State Street, Belvidere, IL 61008 Phone: 815-547-5007 | |
L Robert Warren Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Cadillac Ct Ste 6, Belvidere, IL 61008 Phone: 815-544-0444 Fax: 815-544-0652 | |
Clayton R. Malaker, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 | |
Swedishamerican Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 East Ave, Belvidere, IL 61008 Phone: 779-696-3000 | |
Walgreen Co./ill. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Chrysler Dr, Belvidere, IL 61008 Phone: 815-544-4790 | |
Saint Anthony Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Kishwaukee St, Belvidere, IL 61008 Phone: 800-589-6070 Fax: 309-683-5969 |