MIDWESTERN UNIVERSITY (NPI# 1538445317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538445317 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN UNIVERSITY |
| Other Organization Name | MWU MULTISPECIALTY CLINIC DOWNERS GROVE |
| Practice Address |
3450 Lacey Rd Downers Grove IL 60515-5430 |
| Mailing Address |
26520 Network Pl Chicago IL 60673-1265 |
| Practice Telephone | 6307434500 |
| Practice Fax Number | 6304550213 |
| Mailing Telephone | 6307434500 |
| Mailing Fax Number | 6304550213 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | MR. GREGORY J GAUS (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 6305157307 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWESTERN UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MWU Multispecialty Clinic Downers Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164744009 | Midwestern University | Clinic/Center | 5855 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1891017745 | Midwestern University | Optometrist | 5865 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1245739481 | Midwestern University | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-02-02 |
| 1639610942 | Midwestern University | Dentist | 555 31st St, Downers Grove, IL 60515-1235 | 2017-03-20 |
| 1255799839 | Midwestern University | Physician Assistant | 555 31st St, Downers Grove, IL 60515-1235 | 2016-02-10 |
| 1437524246 | Midwestern University | Physician Assistant | 555 31st Street, Downers Grove, IL 60515-1235 | 2015-12-04 |
| 1295126324 | Midwestern University | Optometrist | 3450 Lacey Rd, Suite 210, Downers Grove, IL 60515-5430 | 2015-02-11 |
| 1033558952 | Midwestern University | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2013-06-25 |
| 1861747248 | Midwestern University | Clinic/Center | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2012-07-20 |
| 1871788299 | Midwestern University | Pharmacy | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2007-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MIDWESTERN UNIVERSITY, INC. | 555 31st St, Downers Grove, IL 60515 |
| Street Address |
3450 LACEY RD |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685707 | Rebecca Siscel | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2005-11-09 |
| 1376187559 | Meredith S Saletta | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2019-10-31 |
| 1356818041 | Drauseo T Speratti | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-10-31 |
| 1215428222 | Vakishan Nadarajah | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-24 |
| 1336639723 | Abbey Leigh Richeson | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-11 |
| 1245739481 | Midwestern University | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-02-02 |
| 1538667381 | Cynthia L Ward | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-01-26 |
| 1447779442 | Kristin L Adams | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-09-12 |
| 1801314505 | Constanza E Fernandez Gonzalez | Dentist | 3450 Lacey Rd, Dental Institute, Downers Grove, IL 60515 | 2017-09-01 |
| 1275057630 | Hye Seon Yoo | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382902 | Geneva Family Dentistry, P.C. | Clinic/Center | 2932 Finley Rd, Downers Grove, IL 60515-1042 | 2017-12-21 |
| 1952739070 | Nicole Brod, D.c. LLC | Clinic/Center | 1121 Warren Ave, Suite 270, Downers Grove, IL 60515-3570 | 2013-10-29 |
| 1265607816 | Podiatry Center, Sc | Clinic/Center | 424 75th St, Downers Grove, IL 60516-4454 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.