Healthcare Provider Details

I. General information

NPI: 1831692912
Provider Name (Legal Business Name): WHEATON HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S NAPERVILLE RD STE C
WHEATON IL
60187-5473
US

IV. Provider business mailing address

311 S NAPERVILLE RD STE C
WHEATON IL
60187-5473
US

V. Phone/Fax

Practice location:
  • Phone: 630-690-4040
  • Fax: 630-690-4074
Mailing address:
  • Phone: 630-690-4040
  • Fax: 630-690-4074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH PAPUGA
Title or Position: CHIROPRACTOR
Credential:
Phone: 630-690-4040