Illinois Mobile Wound PC
NPI 1639061757 · Multi-Specialty Clinic/Center · Glen Carbon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illinois Mobile Wound PC is a Multi-Specialty Clinic/Center organization in Glen Carbon, IL (NPI 1639061757).
Provider details
- NPI number
- 1639061757
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Cleland, Manager(618) 980-2181
Specialties & taxonomies
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Illinois Mobile Wound PC's NPI number?
- Illinois Mobile Wound PC's National Provider Identifier (NPI) is 1639061757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Mobile Wound PC?
- Illinois Mobile Wound PC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Illinois Mobile Wound PC located?
- Illinois Mobile Wound PC's practice location on file with NPPES is 220 Evergreen Ln Unit a, Glen Carbon, IL 62034-1754.
- What is Illinois Mobile Wound PC's phone number?
- The practice phone number listed in the NPPES registry for Illinois Mobile Wound PC is (618) 655-0333.
- Does Illinois Mobile Wound PC accept Medicare?
- Illinois Mobile Wound PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Illinois Mobile Wound PC?
- The authorized official listed on Illinois Mobile Wound PC's NPPES record is Amanda Cleland, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Mobile Wound PC's NPI active?
- Yes — Illinois Mobile Wound PC's NPI (1639061757) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.