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Organization
CENTRAL DUPAGE PHYSICIAN GROUP
Active
Organization
CENTRAL DUPAGE PHYSICIAN GROUP
Active
Other names
Northwestern Medicine Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TOWNE MD (PREIDENT)
(630) 933-1600
Entity
Organization
Contact information
Practice address
5777 DEPARTMENT, CAROL STREAM, IL 60122-5777
(630) 933-3300
(630) 933-2740
Mailing address
5777 DEPARTMENT, CAROL STREAM, IL 60122-5777
(630) 933-3300
(630) 933-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
ID
01
—
080116892
MEDICARE RAILROAD MWB
IL
Enumeration date
07/04/2006
Last updated
04/03/2025
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