Organization · Type 2 NPI

Wheaton Medical SC

Family Medicine Physician · Carol Stream, IL

NPI number 1174879340 Active

Practice location

640 E Saint Charles Rd Ste 204, 205, 206
Carol Stream, IL 60188-3083

Fax (630) 447-9942

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	2081N0008X	None listed
Physical Therapist	225100000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1174879340
Entity type: Organization (Type 2)
Issued: Jul 25, 2012
Last updated: Nov 25, 2020
Status: Active

Other names

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Illinois Back Institute · doing business as
Illinois Back Institute · doing business as

Authorized official

Stella Zaimi
Chief Operating Officer
(630) 677-3742

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174879340

Wheaton Medical SC's National Provider Identifier is 1174879340, issued on Jul 25, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Carol Stream, IL. The record was last updated on Nov 25, 2020.