Healthcare Provider Details

I. General information

NPI: 1538036371
Provider Name (Legal Business Name): TRIPLE R WOUND CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MARKET ST
IOWA CITY IA
52245-2633
US

IV. Provider business mailing address

921 SHERWOOD DR
LAKE BLUFF IL
60044-2203
US

V. Phone/Fax

Practice location:
  • Phone: 319-339-3621
  • Fax:
Mailing address:
  • Phone: 888-987-1489
  • Fax: 888-987-1489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT RADCLIFFE
Title or Position: OWNER
Credential: MD
Phone: 888-987-1489