Healthcare Provider Details

I. General information

NPI: 1376454876
Provider Name (Legal Business Name): WHEATON PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 S NAPERVILLE RD STE 100
WHEATON IL
60189-5855
US

IV. Provider business mailing address

1725 S NAPERVILLE RD STE 100
WHEATON IL
60189-5855
US

V. Phone/Fax

Practice location:
  • Phone: 630-690-7300
  • Fax: 630-690-8019
Mailing address:
  • Phone: 630-690-7300
  • Fax: 630-690-8019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER LIBER
Title or Position: OWNER
Credential: MD
Phone: 630-690-7300