Organization
DUPAGE MEDICAL GROUP, LTD.
Active
Other names
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
1100 31ST ST, STE. 300, DOWNERS GROVE, IL 60515-5509
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355
BCBS HMO SITE
IL
Enumeration date
03/15/2007
Last updated
10/13/2023
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