Active NPI
William Carl Harenburg Jr., M.D.
- Pediatrics Physician
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.119728
- Practice address
- 2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055 - Phone
- (630) 614-4100
- Fax
- (630) 614-4148
- NPI assigned
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.119728 | IL | Primary |
Addresses
Primary practice location
2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055
Mailing address
2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055
Phone (630) 614-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190828001983 | IL | Practitioner - Pediatric Medicine | 7810225836 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.119728 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Pediatrics | Current | Accepting new patients |
| Wheaton Pediatrics, LTD. | Pediatrics | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
2001 N Gary Ave
Wheaton, IL 60187
Phone (630) 614-4100
2001 N Gary Ave
Ste 110
Wheaton, IL 60187
Phone (630) 614-4100
2001 N Gary Ave
Ste 100
Wheaton, IL 60187
Phone (630) 614-4100
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
IL, Pediatrics
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1891968954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N GARY AVE STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873055",
"telephone_number": "630-614-4100",
"fax_number": "630-614-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N GARY AVE STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873055",
"telephone_number": "630-614-4100",
"fax_number": "630-614-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARENBURG",
"first_name": "WILLIAM",
"middle_name": "CARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.119728",
"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 Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.