NPIMap

Organization Active NPI

Midwestern University

Doing business as MWU Wellness Center-Downers Grove

  • Medical Physician Assistant
  • Downers Grove, IL
National Provider Identifier
1255799839
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
MIDWESTERN UNIVERSITY
Doing business as
MWU Wellness Center-Downers Grove
Practice address
555 31St St
Downers Grove, IL 60515-1235
Phone
(630) 971-6401
NPI assigned
Feb 10, 2016
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew J Sweeney
Title
VP & Cfo
Phone
(630) 515-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

555 31St St
Downers Grove, IL 60515-1235

Mailing address

555 31St St
Downers Grove, IL 60515-1235

Other names 1

  • MWU Wellness Center-Downers Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwestern University10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1255799839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 31ST ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 31ST ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151235",
            "telephone_number": "630-971-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "630-515-7307"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MWU Wellness Center-Downers Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MWU Wellness Center-Downers Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.