OrganizationActive
Advanced Wound Care LLC
NPI 1528084266 · Nurse Practitioner · Springfield, IL
Provider details
- NPI number
- 1528084266
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Roxanne Leisky, Owner
Practice location
2524 Farragut Dr # C
Springfield, IL 62704-8400
Phone: (217) 698-3505
Fax: (217) 698-3502
Mailing address
426 Tyrone Dr
Forsyth, IL 62535-1069
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2008-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.