WHEATON FAMILY PRACTICE LTD. NPI 1588789465

NPI Information

NPI: 1588789465
Provider Name: WHEATON FAMILY PRACTICE, LTD.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
393 S SCHMALE RD
CAROL STREAM, IL
ZIP 60188
Phone: (630) 665-6500
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WHEATON FAMILY PRACTICE, LTD. is a primary care clinic center in Carol Stream, IL. WHEATON FAMILY PRACTICE, LTD. NPI is 1588789465. The provider is registered as an organization entity type.

The provider's business location address is:

393 S SCHMALE RD
CAROL STREAM, IL
ZIP 60188-765
Phone: (630) 665-6500
Fax: (630) 665-1411

The provider's authorized official is Beverly Corrine Glas .
The authorized official title is Vice President and has the following contact phone number (630) 665-6500.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 10/31/2007.

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
1	261QP2300X	Clinic/Center	Primary Care		ILLINOIS	Yes

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
1	203879	MEDICARE ID-TYPE UNSPECIFIED	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: 5/5/2024

NPI Synchronization or Removal

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