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
330 MADISON ST, SUITE 103, JOLIET, IL 60435-6565
(815) 725-2121
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
—
IL
335E00000X
Prosthetic/Orthotic Supplier
—
IL
Other
Enumeration date
12/21/2015
Last updated
10/13/2023
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