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NPI Code Detail

MEDICARE: WHEATON ORTHOPAEDICS, LTD.

MEDICARE: WHEATON ORTHOPAEDICS, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist42001705IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CM4157OTHERILRAILROAD MEDICARE PROV NO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22215428OTHERILBLUESHIELD PROVIDER NO
36017960001OTHERILNSC
4130944200OTHERILUS DEPT LABOR

General Provider Information

NPI Number : 1215938170
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHEATON ORTHOPAEDICS, LTD.
Provider Business Mailing Address
First Line : 327 GUNDERSEN DR
Second Line : STE A
City : CAROL STREAM
State : IL
Zip : 60188-2402
Country : US
Telephone Number : 630-665-9155
Fax Number : 630-665-5557
Provider Business Practice Location Address
First Line : 327 GUNDERSEN DR
Second Line : STE A
City : CAROL STREAM
State : IL
Zip : 60188-2402
Country : US
Telephone Number : 630-665-9155
Fax Number : 630-665-5557
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. MAMIE T. MARTIN
Credential :
Telephone Number : 630-665-9155
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/28/2009

Similar Medicare Providers

1801897566 — DR. JENNIFER M. FELSKE D.P.M.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-665-9155
Practice Fax: 630-665-5557
1023019643 — DR. RICHARD E. ERICKSON M.D.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-665-9155
Practice Fax: 630-665-5557
1316948938 — DR. STEPHEN A. BAKER M.D.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-665-9155
Practice Fax: 630-665-5557
1124010202 — WHEATON INTERNAL MEDICINE, LTD.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-681-0640
Practice Fax: 630-681-0659
1528050218 — GREGORY T. PREVATT O,T,S.C.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-665-9155
Practice Fax: 630-665-5557
1235121948 — SARAH N. BURGE P.T.
Practice Location Address:
327 GUNDERSEN DR , SUITE A
CAROL STREAM, IL
60188-2402
Practice Phone: 630-665-9155
Practice Fax: 630-665-5557

Directions to “WHEATON ORTHOPAEDICS, LTD. ” Practice Location

Language Start Address Practice Location
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