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DR. WENDELL A WHEELER M.D. NPI 1902808611


NPI Information

NPI: 1902808611
Provider Name: DR. WENDELL A WHEELER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 14D0962111

Address:
15821 S PARK AVE
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 225-0200
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DR. Wendell A Wheeler, M.D. is a pediatrics in South Holland, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Wendell A Wheeler, M.D. NPI is 1902808611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15821 S PARK AVE
SOUTH HOLLAND, IL
ZIP 60473-506
Phone: (708) 225-0200
Fax: (708) 225-0202

The CLIA number assigned to this NPI record is 14D0962111 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/12/2005 and was last updated on 12/21/2021.


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
1208000000XPediatrics036-068196ILLINOISYes

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

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