Organization Active NPI

Wheaton College

  • Student Health Clinic/Center
  • Wheaton, IL
National Provider Identifier
1487790564
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
WHEATON COLLEGE
Practice address
800 Centennial Drive
Suite 130
Wheaton, IL 60187-4242
Phone
(630) 752-5072
Fax
(630) 752-5575
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Karen Lee, PH.D.
Title
Provost of Wheaton College
Phone
(630) 752-5004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

800 Centennial Drive
Suite 130
Wheaton, IL 60187-4242

Mailing address

800 Centennial Drive
Suite 130
Wheaton, IL 60187-4242
Phone (630) 752-5072

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0856234Wheaton College Student Health Serv800 Centennial Dr, Ste 130, Wheaton, IL 60187Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

800 Centennial Dr
Ste 130
Wheaton, IL 60187
Phone (630) 752-5072

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1487790564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CENTENNIAL DRIVE",
            "address_2": "SUITE 130",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874242",
            "telephone_number": "630-752-5072",
            "fax_number": "630-752-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CENTENNIAL DRIVE",
            "address_2": "SUITE 130",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874242",
            "telephone_number": "630-752-5072",
            "fax_number": "630-752-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROVOST OF WHEATON COLLEGE",
        "authorized_official_telephone_number": "630-752-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.