Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Wound Care Illinois PLLC

Organization General Practice Physician · NPI 1700539780

Integrated Wound Care Illinois PLLC is a General Practice Physician in Springfield, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Phone: (718) 963-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1700539780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lusas — President · (718) 963-3495
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing address492c Cedar Ln Ste 514, Teaneck, NJ 07666-1713

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