# DUPAGE MEDICAL GROUP LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DuPage Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801833983
- **Authorized official:** PAUL MERRICK MD (PRESIDENT, BOARD OF DIRECTORS)
- **Authorized official phone:** (630) 790-1221

## Contact information

- **Practice address:** 1100 W 31ST ST, STE 300, DOWNERS GROVE, IL 60515-5509
- **Practice address phone:** (630) 469-9200
- **Mailing address:** PO BOX 713260, CHICAGO, IL 60677-1260
- **Mailing address phone:** (630) 469-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 042000124 | IL | Yes |
| 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