Organization
DU PAGE MEDICAL GROUP, LTD
Active
Other names
Dupage Medical Group, Ltd
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
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
Mailing address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7174
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621031
BCBS PROVIDER ID
IL
01
—
CD5640
RAILROAD MEDICARE
IL
01
—
IL3596
LOCALITY 15 MEDICARE
IL
Enumeration date
12/28/2007
Last updated
12/19/2025
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