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General NPI Number Information
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NPI Number | 1164744009
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Entity Type | Organization
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Legal Business Name | MIDWESTERN UNIVERSITY
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 5855 W UTOPIA RD
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City | GLENDALE
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State | AZ
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Zip | 85308-5251
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Country | US
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Telephone | 623-537-6000
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Fax | 623-806-7689
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Provider Business Mailing Address
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Address Line | 26520 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1265
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Country | US
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Telephone | 630-743-4500
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Fax | 623-806-7689
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Authorized Official
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Title or Position | VP & CFO
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Name | MATTHEW J SWEENEY
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Credential |
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Telephone | 630-515-7307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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