| Mwu Multispecialty Clinic Downers Grove | |
|
3450 Lacey Rd Downers Grove IL 60515-5430 | |
| (630) 743-4500 | |
| (623) 806-7689 |
| Full Name | Mwu Multispecialty Clinic Downers Grove |
|---|---|
| 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 |
|---|---|
| Mwu Multispecialty Clinic Downers Grove 26520 Network Pl Chicago IL 60673-1265 Ph: (630) 743-4500 | Mwu Multispecialty Clinic Downers Grove 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 | Teresa L Elliott-burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932254406 PECOS PAC ID: 2860488715 Enrollment ID: I20040427000513 |
| 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 | Christina Pina Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063471886 PECOS PAC ID: 5991728123 Enrollment ID: I20060113000098 |
| Provider Name | Nader E Fakhoury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417929142 PECOS PAC ID: 4385666007 Enrollment ID: I20060123000828 |
| 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 | Jeanie C Lucy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578610465 PECOS PAC ID: 6608927603 Enrollment ID: I20090702000554 |
| 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 | Caryn M Labuda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306288022 PECOS PAC ID: 8820231541 Enrollment ID: I20130828000741 |
| 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 | Maria T Doelman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871908863 PECOS PAC ID: 5799901740 Enrollment ID: I20140728001260 |
| 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 | Naureen M Haroon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194117333 PECOS PAC ID: 3173838760 Enrollment ID: I20150811004823 |
| Provider Name | Matthew Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316352834 PECOS PAC ID: 4587882881 Enrollment ID: I20150915000548 |
| Provider Name | Aarlan V Aceto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013064385 PECOS PAC ID: 6800937236 Enrollment ID: I20151015000643 |
| 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 | Diyana Ivanova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164975892 PECOS PAC ID: 8729344700 Enrollment ID: I20171107002423 |
| 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 | Javeria Azhar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700292463 PECOS PAC ID: 7618193384 Enrollment ID: I20180423000680 |
| Provider Name | Cynthia L Ward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538667381 PECOS PAC ID: 7214290402 Enrollment ID: I20180423001363 |
| Provider Name | Laura M Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194896225 PECOS PAC ID: 4486918158 Enrollment ID: I20180504000049 |
| Provider Name | Pathik P Amin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245632371 PECOS PAC ID: 7012221419 Enrollment ID: I20180820002289 |
| 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 | Chenyi Liu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568983617 PECOS PAC ID: 5991079246 Enrollment ID: I20181129002248 |
| Provider Name | Kristin L Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447779442 PECOS PAC ID: 7517232820 Enrollment ID: I20181130002604 |
| Provider Name | Sarah M 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 | Elizabeth Kirn Wickware |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992017693 PECOS PAC ID: 6608025408 Enrollment ID: I20190409002384 |
| 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 | Mohammad Salem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467004358 PECOS PAC ID: 9436488327 Enrollment ID: I20190830001720 |
| 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 | Ruchi M Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184006439 PECOS PAC ID: 7113201674 Enrollment ID: I20191218002557 |
| 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 | 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 | Jena M Lohrens-becker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386932861 PECOS PAC ID: 3678992005 Enrollment ID: I20201002002381 |
| 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 | 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 | Aatifa A Ahmed |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770201378 PECOS PAC ID: 8426428137 Enrollment ID: I20221221000562 |
| 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 |
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