Dupage Medical Group

LBN: Dupage Medical Group Ltd
Dupage Medical Group is an health care organization with primary practice located at 1801 S Highland Ave Suite L10, Lombard IL 60148-4932. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Dupage Medical Group Ltd can be contacted via phone (630) 967-2000, or through Merrick, Paul via phone (630) 790-1221.

Contact Information

Primary practice address
1801 S Highland Ave Suite L10 Lombard IL 60148-4932
Phone: (630) 967-2000
Fax: (630) 261-6901
Website:
Map and Directions
Authorized official contact:
Name: Merrick, Paul Doctor of Medicine (MD)
Phone: (630) 790-1221

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 070020798 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 042000124 Illinois
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 042000124 Illinois

Profile Details

NPI number 1316347347
LBN Legal business name Dupage Medical Group Ltd
DBA Doing business as Dupage Medical Group
Authorized official Merrick, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2014
Last updated Oct 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316347347 NPPES
Illinois Other 205994 MEDICARE GROUP PTAN
Illinois Other 785110 MEDICARE GROUP PTAN

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