# DUPAGE INTERNAL MEDICINE OF ILLINOIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669689428
- **Authorized official:** MR. PRABHU SHIVALINGAPPA M.D. (PRESIDENT)
- **Authorized official phone:** (630) 323-7833

## Contact information

- **Practice address:** 534 CHESTNUT DR, SUITE 210, HINSDALE, IL 60521-3527
- **Practice address phone:** (630) 323-7833
- **Practice address fax:** (630) 323-7410
- **Mailing address:** 40 S CLAY ST STE 210W, HINSDALE, IL 60521-8805
- **Mailing address phone:** (630) 323-7833
- **Mailing address fax:** (630) 323-7410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 07/22/2019