| Archos Wound Specialists Inc | |
|
2720 S River Rd Ste 4 Des Plaines IL 60018-4109 | |
| (708) 305-6086 | |
| Not Available |
| Full Name | Archos Wound Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2720 S River Rd Ste 4, Des Plaines, Illinois |
| Authorized Official Name and Position | Vanessa Adraneda (PRACTICE MANAGER) |
| Authorized Official Contact | 8478000957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archos Wound Specialists Inc 1328 Main St Crete IL 60417-2131 Ph: (847) 800-0957 | Archos Wound Specialists Inc 2720 S River Rd Ste 4 Des Plaines IL 60018-4109 Ph: (708) 305-6086 |
| NPI Number | 1497460489 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Medicare PECOS PAC ID | 2668832049 |
|---|---|
| Medicare Enrollment ID | O20230717002848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497460489 | NPI | - | NPPES |
| 74037844 | Other | IL | SECRETARY OF STATE FILE NUMBER |
| Provider Name | Mark Norbert Guiab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346770914 PECOS PAC ID: 7113284142 Enrollment ID: I20171130000210 |
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