John Wheeler, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36066551 Issued in IL

Practice address

2160 S First Ave
(Fahey BLDG., RM. 270)
Maywood, IL 60153

Phone

(708) 216-5102

Fax

(708) 216-1699

NPI assigned

Feb 27, 2006

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1376519611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(FAHEY BLDG., RM. 270)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-5102",
            "fax_number": "708-216-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(FAHEY BLDG., RM. 270)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-5102",
            "fax_number": "708-216-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36066551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36066551",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Daniel Westman
• Sandra Marie Weszelits, APN
• Andrea Whaling, PT, DPT
• Sheila Lynne Wheatley, LCSW
• Anthony Wheeler, MD
• Cody R Whitcomb, MD
• Paula White Prock, MD
• Brian Michael White
• Tiffany Nicole White
• Michael Whiteley, MD

• Urology Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.