Healthcare Provider Details
I. General information
NPI: 1841534203
Provider Name (Legal Business Name): CENTRAL DUPAGE PHYSICIAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2012
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27650 FERRY RD
WARRENVILLE IL
60555-3845
US
IV. Provider business mailing address
5777 DEPARTMENT
CAROL STREAM IL
60122-5777
US
V. Phone/Fax
- Phone: 630-225-2663
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SABINA
STRZEMINSKA
Title or Position: DIRECTOR
Credential:
Phone: 312-695-0646