Organization
DUPAGE MEDICAL GROUP LTD
Active
Other names
DuPage Medical Group, Ltd, DuPage 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
430 WARRENVILLE RD, STE 210, LISLE, IL 60532-1348
(630) 432-6148
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
042000124
IL
Other
Enumeration date
03/06/2013
Last updated
10/09/2023
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