NPIMap

Organization Active NPI

Midwestern University

Doing business as MWU Wellness Center-Dowenrs Grove Campus

  • Family Medicine Physician
  • Downers Grove, IL
National Provider Identifier
1437524246
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDWESTERN UNIVERSITY
Doing business as
MWU Wellness Center-Dowenrs Grove Campus
Practice address
555 31St Street
Downers Grove, IL 60515-1235
Phone
(630) 971-6401
Fax
(630) 515-7234
NPI assigned
Dec 4, 2015
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWESTERN UNIVERSITYAs reported in NPPES

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

555 31St Street
Downers Grove, IL 60515-1235

Mailing address

555 31St Street
Downers Grove, IL 60515-1235
Phone (630) 971-6401

Other names 1

  • MWU Wellness Center-Dowenrs Grove Campus Doing business as

National Provider Directory

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

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": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1437524246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 31ST STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151235",
            "telephone_number": "630-971-6401",
            "fax_number": "630-515-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 31ST STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151235",
            "telephone_number": "630-971-6401",
            "fax_number": "630-515-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWESTERN UNIVERSITY",
        "enumeration_date": "2015-12-04",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MWU Wellness Center-Dowenrs Grove Campus",
            "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.