Healthcare Provider Details

I. General information

NPI: 1598579013
Provider Name (Legal Business Name): A PLUS WOUND CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 FAIRFIELD WAY STE 103
BLOOMINGDALE IL
60108-1556
US

IV. Provider business mailing address

125 FAIRFIELD WAY STE 103
BLOOMINGDALE IL
60108-1556
US

V. Phone/Fax

Practice location:
  • Phone: 630-327-7656
  • Fax:
Mailing address:
  • Phone: 630-327-7656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAWRENCE MASICLAT
Title or Position: MANAGER
Credential:
Phone: 630-327-7656