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INTEGRATED WOUND CARE ILLINOIS PLLC
NPI 1700539780
General Practice in Springfield, IL

Active since January 31, 2022
801 ADLAI STEVENSON DR, SPRINGFIELD, IL 62703(718) 963-3495 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Wound Care Illinois Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WOUND CARE ILLINOIS PLLC (NPI 1700539780) is a healthcare organization registered as a general practice in Springfield, Illinois and active in the NPI registry since January 2022. The organization lists Diane Lusas, President, as its authorized official.

NPPES Registry Identity

NPI1700539780
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE ILLINOIS PLLC
Location Address801 ADLAI STEVENSON DRSpringfield, IL 62703-4261
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713 · (718) 963-3495
Phone(718) 963-3495
Organization SubpartNo
Authorized OfficialDiane LusasPresident · (718) 963-3495
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1700539780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
801 ADLAI STEVENSON DR, Springfield, IL 62703
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCTAVE BEHAVIORAL MICHIGAN PC
Psychologist
801 ADLAI STEVENSON DR
SPRINGFIELD, IL 62703
Sangamon County (415) 360-3833
IPPOLITO TELEOPTOMETRIC SERVICE, P.C.
Optometrist
801 ADLAI STEVENSON DR
SPRINGFIELD, IL 62703
Sangamon County (877) 506-0002
PLUSHCARE PHYSICIAN'S GROUP LTD.
Family Medicine
801 ADLAI STEVENSON DR
SPRINGFIELD, IL 62703
Sangamon County (415) 231-5333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wound Care Illinois PLLC's NPI number?

The NPI number for Integrated Wound Care Illinois PLLC is 1700539780. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Integrated Wound Care Illinois PLLC located?

Integrated Wound Care Illinois PLLC is located at 801 Adlai Stevenson Dr, Springfield, IL 62703. The listed phone number is (718) 963-3495.

What is Integrated Wound Care Illinois PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Wound Care Illinois PLLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.