Organization
MIDWESTERN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J SWEENEY (VP & CFO)
(630) 515-7307
Entity
Organization
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9657
AZ
Other
Enumeration date
03/20/2017
Last updated
03/02/2023
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