Organization
DUPAGE 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
1206 EAST 9TH STREET, ORTHO/SPINE SUITE 103, LOCKPORT, IL 60441-6044
(630) 790-1872
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
—
—
Other
Enumeration date
09/10/2020
Last updated
10/18/2023
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