Dupage Medical Group, Ltd.
LBN: Dupage Medical Group, Ltd.
Dupage Medical Group, Ltd. is an health care organization with primary practice located at 430 Pennsylvania Ave 240, Glen Ellyn IL 60137-4464. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Dupage Medical Group, Ltd. can be contacted via phone (630) 790-1872, or through Merrick, Paul via phone (630) 790-1221.
Contact Information
Primary practice address
430 Pennsylvania Ave 240
Glen Ellyn IL 60137-4464
Phone: (630) 790-1872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 042000124 | Illinois |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 042000124 | Illinois |
Profile Details
| NPI number | 1841435369 |
|---|---|
| LBN Legal business name | Dupage Medical Group, Ltd. |
| DBA Doing business as | |
| Authorized official | Merrick, Paul Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 12th, 2008 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841435369 | NPPES |
| Illinois | Other | 205994 | MEDICARE GROUP PTAN |
| Illinois | Other | 785110 | MEDICARE GROUP PTAN |
| Illinois | Other | 568660 | MEDICARE GROUP PTAN |
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