# DUPAGE MEDICAL GROUP, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dupage Medical Group, Ltd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700839230
- **Authorized official:** PAUL MERRICK MD (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (630) 790-1221

## Contact information

- **Practice address:** 2320 HIGH ST, BLUE ISLAND, IL 60406-2426
- **Practice address phone:** (708) 388-5500
- **Practice address fax:** (708) 388-5672
- **Mailing address:** 2320 HIGH ST, ADMINISTRATION, BLUE ISLAND, IL 60406-2426
- **Mailing address phone:** (708) 388-5500
- **Mailing address fax:** (708) 226-7170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 10/13/2023