Organization
CENTRAL DUPAGE PHYSICIAN GROUP
Active
Other names
Northwestern Medicine Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TOWNE MD (PREIDENT)
(630) 933-1600
Entity
Organization
Contact information
Practice address
5777 DEPARTMENT, CAROL STREAM, IL 60122-5777
(630) 933-3300
(630) 933-2740
Mailing address
5777 DEPARTMENT, CAROL STREAM, IL 60122-5777
(630) 933-3300
(630) 933-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
ID
01
—
080116892
MEDICARE RAILROAD MWB
IL
Enumeration date
07/04/2006
Last updated
04/03/2025
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