WHEATON MEDICAL SC (NPI# 1174879340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174879340 |
| Entity Type | Organization |
| Organization Name | WHEATON MEDICAL SC |
| Other Organization Name | ILLINOIS BACK INSTITUTE |
| Practice Address |
640 E Saint Charles Rd Ste 204, 205, 206 Carol Stream IL 60188-3083 |
| Practice Telephone | 6304807155 |
| Practice Fax Number | 6304564774 |
| Mailing Telephone | 6302210200 |
| Mailing Fax Number | 6303842644 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | STELLA ZAIMI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6306773742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CORPORATE LICENSE # | 68756 | 01 |
| Other Name | Type Code |
|---|---|
| Illinois Back Institute | Doing Business As Name - Organization |
| Street Address |
640 E SAINT CHARLES RD STE 204, 205, 206 |
| City | CAROL STREAM |
| State | IL |
| Zip Code | 60188-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496296 | Vita Pharmacy Inc | Pharmacy | 279-281 W Elk Trail Rd, Carol Stream, IL 60188 | 2019-06-20 |
| 1992287346 | Anjana Matiwala | Pharmacist | 1600 Mcconnor Parkway, Schaumburg, IL 60188 | 2018-09-02 |
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1881103638 | Lineta Kundrotiene | Pharmacist | 615 Appaloosa Ct, Carol Stream, IL 60188 | 2017-09-25 |
| 1225409345 | Dr David Cavazos Dc LLC | Chiropractor | 66 E North Ave, Carol Stream, IL 60188 | 2015-10-15 |
| 1548657901 | Mark Babinski | Chiropractor | 1189 N Gary Ave, Carol Stream, IL 60188 | 2015-04-22 |
| 1609267095 | Jocelyn Tolentino | Obstetrics & Gynecology | 630 North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-02-06 |
| 1265798532 | William Vogds | Chiropractor | 25 W 330 Geneva Rd, Carol Stream, IL 60188 | 2012-04-11 |
| 1740557073 | Mary Jene Howe | Pharmacist | 540 Schmale, Carol Stream, IL 60188 | 2011-12-01 |
| 1992087878 | Patricia J Zurek | Pharmacist | 540 Schmale Rd, Carol Stream, IL 60188 | 2011-09-15 |
| Find all providers in zip 60188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1982879029 | Dupage Health Center Ltd | Family Medicine | 206 N Gary Ave, Carol Stream, IL 60188-1834 | 2008-04-29 |
| 1093800187 | Patrick F Bednar | Family Medicine | 517 Thornhill Dr, Carol Stream, IL 60188-2703 | 2006-10-04 |
| 1205920196 | Pratima Shah | Family Medicine | 839 Burning Trl, Carol Stream, IL 60188-9148 | 2006-10-03 |
| 1609974310 | Ashwin B Damania | Family Medicine | 511 Thornhill Drive, Suite D, Carol Stream, IL 60188 | 2006-09-20 |
| 1023110731 | John Blaise Pace | Family Medicine | 560 Belmont Ln, Carol Stream, IL 60188 | 2006-09-02 |
| 1427445501 | Physicians Care At Home Inc | Family Medicine | 575 Thornhill Dr, 206, Carol Stream, IL 60188-2763 | 2015-04-16 |
| 1851704043 | Shagufta Naaz Khader | Family Medicine | 630 E North Ave, Dept of Family Medicine, Carol Stream, IL 60188 | 2014-06-05 |
| 1184981417 | Adventist Health Partners, Inc | Family Medicine | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2012-04-11 |
| 1184752404 | Pratima M Shah Mdsc | Family Medicine | 839 Burning Trl, Carol Stream, IL 60188-9148 | 2007-02-28 |
| Find all providers in CAROL STREAM | ||||
| City | CAROL STREAM |
| Zip Code | 60188 |
Please comment or provide details below to improve the information on WHEATON MEDICAL SC.
| 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.