Healthcare Provider Details

I. General information

NPI: 1164744009
Provider Name (Legal Business Name): MIDWESTERN UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 W UTOPIA RD
GLENDALE AZ
85308-5251
US

IV. Provider business mailing address

26520 NETWORK PL
CHICAGO IL
60673-1265
US

V. Phone/Fax

Practice location:
  • Phone: 623-537-6000
  • Fax: 623-806-7689
Mailing address:
  • Phone: 630-743-4500
  • Fax: 623-806-7689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW J SWEENEY
Title or Position: VP & CFO
Credential:
Phone: 630-515-7307