Organization
DU PAGE MEDICAL GROUP LTD
Active
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
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 730-3031
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
10/13/2023
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