Provider Demographics
NPI:1407658545
Name:ADVANCED WOUND MANAGEMENT CO
Entity type:Organization
Organization Name:ADVANCED WOUND MANAGEMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NEELU
Authorized Official - Middle Name:
Authorized Official - Last Name:NEHLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-204-2396
Mailing Address - Street 1:1589 BICEK DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1192
Mailing Address - Country:US
Mailing Address - Phone:847-204-2396
Mailing Address - Fax:
Practice Address - Street 1:1589 BICEK DR
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1192
Practice Address - Country:US
Practice Address - Phone:847-204-2396
Practice Address - Fax:888-984-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center