Organization
ARCHOS WOUND SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VANESSA ADRANEDA RN (PRACTICE MANAGER)
(847) 800-0957
Entity
Organization
Contact information
Practice address
2720 S RIVER RD STE 4, DES PLAINES, IL 60018-4109
(708) 305-6086
Mailing address
1328 MAIN ST, CRETE, IL 60417-2131
(847) 800-0957
(847) 972-1863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74037844
SECRETARY OF STATE FILE NUMBER
IL
Enumeration date
01/16/2023
Last updated
11/15/2024
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