Advanced Wound Care LLC
NPI #1528084266 in Springfield, Illinois
Provider Information
- NPI Number
- 1528084266
- Entity Type
- Organization
- Organization Name
- Advanced Wound Care LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 2524 FARRAGUT DR # C
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-8400
- Phone
- (217) 698-3505
Authorized Official
- Name
- MRS. ROXANNE LEISKY, NP CWC
- Title
- OWNER
- Phone
- (217) 698-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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