MIDWESTERN UNIVERSITY (NPI# 1861747248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861747248 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN UNIVERSITY |
| Other Organization Name | MIDWESTERN UNIVERSITY DENTAL INSTITUTE-DOWNERS GROVE |
| Practice Address |
3450 Lacey Rd Downers Grove IL 60515-5430 |
| Practice Telephone | 6305156440 |
| Practice Fax Number | 6305157152 |
| Mailing Telephone | 6305156440 |
| Mailing Fax Number | 6305157152 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MR. GREGORY J GAUS (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 6235376080 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWESTERN UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midwestern University Dental Institute-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 |
| 1538445317 | Midwestern University | Clinic/Center | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2011-10-25 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275175168 | Najeeb M. Abufarha, Dmd, Pllc | Clinic/Center | 2825 Gabriella St Unit 601, Downers Grove, IL 60515-3991 | 2019-10-11 |
| 1821409301 | Christopher R Szydelko Dds PC | Clinic/Center | 5140 Cumnor Rd, Downers Grove, IL 60515-5255 | 2014-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on MIDWESTERN UNIVERSITY.
| 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.