Wheaton Internal Medicine, Ltd.

LBN: Wheaton Internal Medicine, Ltd.
Wheaton Internal Medicine, Ltd. is an health care organization with primary practice located at 327 Gundersen Dr Suite A, Carol Stream IL 60188-2402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wheaton Internal Medicine, Ltd. can be contacted via phone (630) 681-0640, or through Martin, Mamie T. via phone (630) 681-0640.

Contact Information

Primary practice address
327 Gundersen Dr Suite A Carol Stream IL 60188-2402
Phone: (630) 681-0640
Fax: (630) 681-0659
Website:
Map and Directions
Authorized official contact:
Name: Martin, Mamie T.
Phone: (630) 681-0640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1124010202
LBN Legal business name Wheaton Internal Medicine, Ltd.
DBA Doing business as
Authorized official Martin, Mamie T.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124010202 NPPES
Illinois Other M05974 BCBS OF IL

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