Wheaton Family Practice, Ltd.
NPI #1588789465 in Carol Stream, Illinois
Provider Information
- NPI Number
- 1588789465
- Entity Type
- Organization
- Organization Name
- Wheaton Family Practice, Ltd.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Oct 31, 2007
Practice Location
- Address
- 393 S SCHMALE RD
- City
- Carol Stream
- State
- Illinois
- ZIP Code
- 60188-2765
- Phone
- (630) 665-6500
Authorized Official
- Name
- DR. BEVERLY CORRINE GLAS, M.D.
- Title
- VICE PRESIDENT
- Phone
- (630) 665-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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