High Street Pharmacy

LBN: Dupage Medical Group, Ltd
High Street Pharmacy is an health care organization with primary practice located at 2320 High Street , Blue Island IL 60406. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Dupage Medical Group, Ltd can be contacted via phone (708) 388-0033, or through Merrick, Paul via phone (630) 790-1221.

Contact Information

Primary practice address
2320 High Street Blue Island IL 60406
Phone: (708) 388-0033
Fax: (708) 388-0257
Website:
Map and Directions
Authorized official contact:
Name: Merrick, Paul Doctor of Medicine (MD)
Phone: (630) 790-1221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0054005063 Illinois

Profile Details

NPI number 1801963855
LBN Legal business name Dupage Medical Group, Ltd
DBA Doing business as High Street Pharmacy
Authorized official Merrick, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 13th, 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 1801963855 NPPES
Illinois MEDICAID 362757948001
Illinois Other 0001671073

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