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
PAUL MERRICK MD (CHAIRMAN OF THE BOARD)
(630) 790-1221
Entity
Organization
Contact information
Practice address
636 RAYMOND DR, 300, NAPERVILLE, IL 60563-9789
(630) 510-6929
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
042000124
IL
335E00000X
Prosthetic/Orthotic Supplier
Primary
042000124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
568660
MEDICARE GROUP NUMBER
IL
01
—
785110
MEDICARE GROUP NUMBER
IL
Enumeration date
12/12/2008
Last updated
10/13/2023
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