| Wheaton Internal Medicine, Ltd. | |
|
327 Gundersen Dr Suite A Carol Stream IL 60188-2402 | |
| (630) 681-0640 | |
| (630) 681-0659 |
| Full Name | Wheaton Internal Medicine, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 Gundersen Dr, Carol Stream, Illinois |
| Authorized Official Name and Position | Mamie T. Martin (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 6306810640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheaton Internal Medicine, Ltd. 327 Gundersen Dr Suite A Carol Stream IL 60188-2402 Ph: (630) 681-0640 | Wheaton Internal Medicine, Ltd. 327 Gundersen Dr Suite A Carol Stream IL 60188-2402 Ph: (630) 681-0640 |
| NPI Number | 1124010202 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124010202 | NPI | - | NPPES |
| M05974 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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