Organization
DU PAGE MEDICAL GROUP LTD
Active
Other names
M & M Orthopaedics a member of Du Page Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERRICK MD (CHAIRMAN OF THE BOARD)
(630) 790-1221
Entity
Organization
Contact information
Practice address
4115 FAIRVIEW AVE, DOWNERS GROVE, IL 60515-2268
(630) 968-1881
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
335E00000X
Prosthetic/Orthotic Supplier
042000124
IL
Other
Enumeration date
08/13/2013
Last updated
10/13/2023
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