Organization
DUPAGE MEDICAL GROUP, LTD.
Active
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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