# ARCHOS WOUND SPECIALISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497460489
- **Authorized official:** MISS VANESSA ADRANEDA RN (PRACTICE MANAGER)
- **Authorized official phone:** (847) 800-0957

## Contact information

- **Practice address:** 2720 S RIVER RD STE 4, DES PLAINES, IL 60018-4109
- **Practice address phone:** (708) 305-6086
- **Mailing address:** 1328 MAIN ST, CRETE, IL 60417-2131
- **Mailing address phone:** (847) 800-0957
- **Mailing address fax:** (847) 972-1863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 11/15/2024