Organization
DUPAGE MEDICAL GROUP, LTD
Active
Parent organization
DUPAGE MEDICAL GROUP, LTD
Other names
M & M Orthopaedics (A member of DuPage Medical Group)
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUPAGE MEDICAL GROUP, LTD
Authorized official
PAUL MERRICK MD (CHAIRMAN, BOARD OF DIRECTORS)
(630) 790-1221
Entity
Organization
Contact information
Practice address
76 W. COUNTRYSIDE PARKWAY, SUITE 1, YORKVILLE, IL 60560-1969
(630) 553-2722
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
042000124
IL
335E00000X
Prosthetic/Orthotic Supplier
042000124
IL
Other
Enumeration date
08/13/2013
Last updated
10/13/2023
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