Organization
DUPAGE MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERRICK MD (PRESIDENT, BOARD OF DIRECTORS, MD)
(630) 790-1221
Entity
Organization
Contact information
Practice address
430 PENNSYLVANIA AVE STE 240, GLEN ELLYN, IL 60137-4464
(331) 551-5051
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
036042072
IL
Other
Enumeration date
04/18/2018
Last updated
09/19/2023
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