| Midwestern University | |
|
3450 Lacey Rd Downers Grove IL 60515-5430 | |
| (630) 743-4500 | |
| (623) 806-7689 |
| Full Name | Midwestern University |
|---|---|
| Speciality | Clinic/Center |
| Location | 3450 Lacey Rd, Downers Grove, Illinois |
| Authorized Official Name and Position | Matthew J Sweeney (VP & CFO) |
| Authorized Official Contact | 6305157307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern University 26520 Network Pl Chicago IL 60673-1265 Ph: (630) 743-4500 | Midwestern University 3450 Lacey Rd Downers Grove IL 60515-5430 Ph: (630) 743-4500 |
| NPI Number | 1538445317 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 6305734773 |
|---|---|
| Medicare Enrollment ID | O20120521000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538445317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Post |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831206630 PECOS PAC ID: 2264464536 Enrollment ID: I20050907000980 |
| Provider Name | Kurt P Heinking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558462531 PECOS PAC ID: 5092709329 Enrollment ID: I20060224000472 |
| Provider Name | Melissa A Suckow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740463827 PECOS PAC ID: 3779665831 Enrollment ID: I20080128000708 |
| Provider Name | Charles A Faron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740265933 PECOS PAC ID: 0648304568 Enrollment ID: I20100813000993 |
| Provider Name | Thomas J Dillon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528379203 PECOS PAC ID: 9830384676 Enrollment ID: I20101105001301 |
| Provider Name | Kimberly A Huntington-alfano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013932326 PECOS PAC ID: 4587850284 Enrollment ID: I20101119001026 |
| Provider Name | Neha C Gulati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023245412 PECOS PAC ID: 7517155245 Enrollment ID: I20101222000651 |
| Provider Name | Jane Sy-siong Borgehammar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356484158 PECOS PAC ID: 1254587454 Enrollment ID: I20120829000112 |
| Provider Name | Kimberly M Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124257241 PECOS PAC ID: 1456502285 Enrollment ID: I20121103000047 |
| Provider Name | Parres Mone Wright |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184880155 PECOS PAC ID: 7214176841 Enrollment ID: I20130611000866 |
| Provider Name | Jonathan P Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588090757 PECOS PAC ID: 6709017478 Enrollment ID: I20140321000328 |
| Provider Name | Christina M Del Toro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154762243 PECOS PAC ID: 0840421517 Enrollment ID: I20140321000503 |
| Provider Name | Judith Ball |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326170390 PECOS PAC ID: 7618190489 Enrollment ID: I20140523000407 |
| Provider Name | Matthew P Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851792261 PECOS PAC ID: 5698996361 Enrollment ID: I20141021002938 |
| Provider Name | Janey Prodoehl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386047637 PECOS PAC ID: 8123341559 Enrollment ID: I20141216001248 |
| Provider Name | Colleen S Krambeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831518430 PECOS PAC ID: 2961714498 Enrollment ID: I20150710002567 |
| Provider Name | Samantha M Rice |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619356995 PECOS PAC ID: 9436462272 Enrollment ID: I20150722004499 |
| Provider Name | Nicole M Gilbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679959399 PECOS PAC ID: 1658688148 Enrollment ID: I20150916000622 |
| Provider Name | Jessica Nicole Jose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053766550 PECOS PAC ID: 5193017895 Enrollment ID: I20160715000838 |
| Provider Name | Daniel James Deligio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043698715 PECOS PAC ID: 1153634472 Enrollment ID: I20161019002331 |
| Provider Name | Cindy Krizizke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700337722 PECOS PAC ID: 2860774312 Enrollment ID: I20170118002543 |
| Provider Name | Audrey E Bowlds |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124432075 PECOS PAC ID: 5799052122 Enrollment ID: I20170606001526 |
| Provider Name | Brian T Coffey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124479571 PECOS PAC ID: 6901170505 Enrollment ID: I20170920002965 |
| Provider Name | Frederick T Collison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356891022 PECOS PAC ID: 5395010110 Enrollment ID: I20171004002658 |
| Provider Name | Adrienne C Quan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609229277 PECOS PAC ID: 5092009704 Enrollment ID: I20171218003302 |
| Provider Name | Margaret A Wilczek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831542273 PECOS PAC ID: 5597045765 Enrollment ID: I20180423000101 |
| Provider Name | Hye Seon Yoo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275057630 PECOS PAC ID: 4981948122 Enrollment ID: I20181129001062 |
| Provider Name | John P Gialousakis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184038606 PECOS PAC ID: 0446478846 Enrollment ID: I20181129001991 |
| Provider Name | Sarah El-khazendar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770003055 PECOS PAC ID: 6800130881 Enrollment ID: I20181201000331 |
| Provider Name | Jenelle L Mallios Gialousakis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700190535 PECOS PAC ID: 4082894571 Enrollment ID: I20181204001635 |
| Provider Name | Jenna Mw Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508394404 PECOS PAC ID: 5496807422 Enrollment ID: I20181213002784 |
| Provider Name | Christopher T Pereira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497313852 PECOS PAC ID: 4789918780 Enrollment ID: I20190625003127 |
| Provider Name | Mary Ann Short |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932610326 PECOS PAC ID: 7012243538 Enrollment ID: I20190722002199 |
| Provider Name | Luke Ew Neuenfeldt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942853700 PECOS PAC ID: 3274863667 Enrollment ID: I20190927001273 |
| Provider Name | Vakishan Nadarajah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215428222 PECOS PAC ID: 0042562811 Enrollment ID: I20191218001492 |
| Provider Name | Jenny Geevarghese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629484423 PECOS PAC ID: 7719109545 Enrollment ID: I20191218002061 |
| Provider Name | Meredith S Saletta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376187559 PECOS PAC ID: 2668806902 Enrollment ID: I20191219002394 |
| Provider Name | Leigh E Shea |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437480944 PECOS PAC ID: 0648604884 Enrollment ID: I20191223000706 |
| Provider Name | Lydia L Royeen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306118153 PECOS PAC ID: 0749619070 Enrollment ID: I20200407002405 |
| Provider Name | Clinton Roger Prestwich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467973396 PECOS PAC ID: 9133491574 Enrollment ID: I20200423001149 |
| Provider Name | Dana D Rhea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629621263 PECOS PAC ID: 4880924711 Enrollment ID: I20200901003072 |
| Provider Name | Konstantina G Kalas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831750652 PECOS PAC ID: 6709110265 Enrollment ID: I20210125000616 |
| Provider Name | Amanda C Nagle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851544894 PECOS PAC ID: 8426455783 Enrollment ID: I20210929001528 |
| Provider Name | Balaji Rangarathnam |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902265457 PECOS PAC ID: 3870892912 Enrollment ID: I20220218001272 |
| Provider Name | Karen Ann Kehbein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942438924 PECOS PAC ID: 5799973624 Enrollment ID: I20221011001830 |
| Provider Name | Sanjana Shashidhar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922767078 PECOS PAC ID: 0840683991 Enrollment ID: I20221020001443 |
| Provider Name | Elizabeth A Rotert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851057848 PECOS PAC ID: 5698145373 Enrollment ID: I20221222000414 |
| Provider Name | Jenny Ga-yee Lau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093292849 PECOS PAC ID: 1850642844 Enrollment ID: I20231201002273 |
| Provider Name | Mitchell W Kanellis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144930298 PECOS PAC ID: 9931578937 Enrollment ID: I20240301000104 |
| Provider Name | Stacey Marie Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497065007 PECOS PAC ID: 9032551775 Enrollment ID: I20240524003185 |
| Provider Name | Miriam A Carroll-alfano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356571806 PECOS PAC ID: 6608317839 Enrollment ID: I20240916001580 |
| Provider Name | Susan D Charnley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497146724 PECOS PAC ID: 2163944539 Enrollment ID: I20250314003337 |
Pinnacle Woundcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1431 Opus Place, Suit # 110, Downers Grove, IL 60515 Phone: 224-315-8593 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Warrenville Rd Ste 500, Downers Grove, IL 60515 Phone: 657-400-5180 | |
Halcyon Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6241 Main St, Downers Grove, IL 60516 Phone: 312-394-0571 | |
Gastroenterology Services, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave, Suite 203, Downers Grove, IL 60515 Phone: 630-969-1167 Fax: 630-969-1297 | |
Avd Medical Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave Ste 3d, Downers Grove, IL 60515 Phone: 630-964-7006 Fax: 630-964-7082 | |
Greg Yahiro Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Highland Ave, Suite 3f, Downers Grove, IL 60515 Phone: 630-434-9700 | |
Z. Syed, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Fairview Ave, Suite 100, Downers Grove, IL 60515 Phone: 630-968-4790 Fax: 630-968-8755 |