Organization
DUPAGE MEDICAL GROUP, LTD.
Active
Parent organization
DUPAGE MEDICAL GROUP, LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUPAGE MEDICAL GROUP, LTD.
Authorized official
MARY GOLDSHER (CEO)
(630) 469-9200
Entity
Organization
Contact information
Practice address
1801 S HIGHLAND AVE, L30, LOMBARD, IL 60148-4932
(630) 873-8888
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042000124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
785110
MEDICARE GROUP NUMBER
IL
Enumeration date
01/23/2009
Last updated
03/16/2010
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