# DUPAGE MEDICAL GROUP LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pharmacy of Du Page Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558604504
- **Authorized official:** PAUL MERRICK (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (630) 790-1221

## Contact information

- **Practice address:** 430 WARRENVILLE RD, 215, LISLE, IL 60532-1348
- **Practice address phone:** (630) 539-6000
- **Mailing address:** 430 WARRENVILLE RD, 215, LISLE, IL 60532-1348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 054018228 | IL | — |
| 3336C0002X | Clinic Pharmacy | 054018228 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | 054018228 | IL | Yes |
| 3336S0011X | Specialty Pharmacy | 054018228 | IL | — |

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 10/06/2023