OrganizationActive
Integrated Wound Care Illinois PLLC
NPI 1700539780 · General Practice Physician · Springfield, IL
Provider details
- NPI number
- 1700539780
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Lusas, President(718) 963-3495
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Phone: (718) 963-3495
Street-level locationGet directions
Mailing address
492c Cedar Ln Ste 514
Teaneck, NJ 07666-1713
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.