Provider Demographics
NPI:1538445317
Name:MIDWESTERN UNIVERSITY
Entity type:Organization
Organization Name:MIDWESTERN UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-515-7307
Mailing Address - Street 1:26520 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1265
Mailing Address - Country:US
Mailing Address - Phone:630-743-4500
Mailing Address - Fax:623-806-7689
Practice Address - Street 1:3450 LACEY RD
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5430
Practice Address - Country:US
Practice Address - Phone:630-743-4500
Practice Address - Fax:623-806-7689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWESTERN UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-25
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center