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NPI Code Detail

MEDICARE: DU PAGE MEDICAL GROUP LTD

MEDICARE: DU PAGE MEDICAL GROUP LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1437633930
Entity Type Code : Organization
Provider Name (Legal Business Name) : DU PAGE MEDICAL GROUP LTD
Provider Business Mailing Address
First Line : PO BOX 713260
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1260
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 12004 S ROUTE 59 UNIT 100
Second Line :
City : PLAINFIELD
State : IL
Zip : 60585-5108
Country : US
Telephone Number : 815-416-6652
Fax Number :
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : PAUL MERRICK
Credential : MD
Telephone Number : 630-790-1221
Provider Enumeration Date : 09/20/2018
Last Update Date : 10/13/2023

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Directions to “DU PAGE MEDICAL GROUP LTD ” Practice Location

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