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Organization
DUPAGE MEDICAL GROUP LTD
Active
Organization
DUPAGE MEDICAL GROUP LTD
Active
Other names
DuPage Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERRICK MD (PRESIDENT, BOARD OF DIRECTORS)
(630) 790-1221
Entity
Organization
Contact information
Practice address
1100 W 31ST ST, STE 300, DOWNERS GROVE, IL 60515-5509
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
042000124
IL
332B00000X
Durable Medical Equipment & Medical Supplies
042000124
IL
332H00000X
Eyewear Supplier
042000124
IL
333600000X
Pharmacy
054018228
IL
3336C0002X
Clinic Pharmacy
054018228
IL
3336C0003X
Community/Retail Pharmacy
054018228
IL
335E00000X
Prosthetic/Orthotic Supplier
042000124
IL
Other
Enumeration date
05/31/2006
Last updated
08/24/2023
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