WHEATON ORTHOPAEDICS LTD NPI 1205374717

NPI Information

  • NPI: 1205374717
  • Provider Name: WHEATON ORTHOPAEDICS, LTD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: SPORTSMED-WHEATON ORTHOPAEDICS
  • Address: 1971 GOWDEY RD
    SUITE 207
    NAPERVILLE, IL
    ZIP 60563
  • Phone: (630) 665-9155

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NPI Details

WHEATON ORTHOPAEDICS, LTD is a specialist in Naperville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WHEATON ORTHOPAEDICS, LTD NPI is 1205374717. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sportsmed-wheaton Orthopaedics.

The provider's business location address is:

1971 GOWDEY RD
SUITE 207
NAPERVILLE, IL
ZIP 60563-232
Phone: (630) 665-9155
Fax: (630) 665-9770

The provider's authorized official is Stephen A Baker .
The authorized official title is Secretary and has the following contact phone number (630) 665-9155.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist042001705ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130944200OTHERILLINOISUS DEPARTMENT OF LABOR
2634490MEDICARE PINILLINOIS
3CM4157MEDICARE PINILLINOIS
40002215428OTHERILLINOISBLUE CROSS BLUE SHIELD OF ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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