Organization
DUPAGE MEDICAL GROUP LTD
Active
Parent organization
DU PAGE MEDICAL GROUP
Other names
Du Page Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
DU PAGE MEDICAL GROUP
Authorized official
PAUL MERRICK MD (BOARD PRESIDENT)
(630) 790-1221
Entity
Organization
Contact information
Practice address
1801 S HIGHLAND AVE, L10, LOMBARD, IL 60148-4932
(630) 873-8860
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
Enumeration date
06/03/2013
Last updated
10/12/2023
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