Healthcare Provider Details

I. General information

NPI: 1013830710
Provider Name (Legal Business Name): ADVANCED WOUND ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 N RIVER RD STE 800
ROSEMONT IL
60018-5166
US

IV. Provider business mailing address

5600 N RIVER RD STE 800
ROSEMONT IL
60018-5166
US

V. Phone/Fax

Practice location:
  • Phone: 708-433-2000
  • Fax: 708-433-2001
Mailing address:
  • Phone: 708-433-2000
  • Fax: 708-433-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIEV HUYNH
Title or Position: OWNER
Credential: NP
Phone: 708-433-2000