Organization
DU PAGE MEDICAL GROUP LTD
Active
Other names
Du Page Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERRICK (CHAIRMAN OF THE BOARD)
(630) 790-1221
Entity
Organization
Contact information
Practice address
1020 E OGDEN AVE, STE 301, NAPERVILLE, IL 60563-8609
(630) 790-1221
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042000124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
569810
MEDICARE GROUP PTAN
IL
01
—
785110
MEDICARE GROUP PTAN
IL
Enumeration date
09/28/2011
Last updated
10/12/2023
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