Organization
DUPAGE MEDICAL GROUP LTD
Active
Other names
The Pharmacy of Du Page Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERRICK (CHAIRMAN OF THE BOARD)
(630) 790-1221
Entity
Organization
Contact information
Practice address
430 WARRENVILLE RD, 215, LISLE, IL 60532-1348
(630) 539-6000
Mailing address
430 WARRENVILLE RD, 215, LISLE, IL 60532-1348
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054018228
IL
3336C0002X
Clinic Pharmacy
054018228
IL
3336C0003X
Community/Retail Pharmacy
Primary
054018228
IL
3336S0011X
Specialty Pharmacy
054018228
IL
Other
Enumeration date
03/28/2013
Last updated
10/06/2023
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