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General NPI Number Information
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NPI Number | 1952192445
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Entity Type | Organization
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Legal Business Name | DU PAGE MEDICAL GROUP, LTD
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1325 N MEACHAM RD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4824
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Country | US
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Telephone | 630-469-9200
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Fax |
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Provider Business Mailing Address
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Address Line | POB 7132960
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City | CHICAGO
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State | IL
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Zip | 60677-0001
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Country | US
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Telephone | 630-469-9200
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | PAUL MERRICK
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Credential | MD
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Telephone | 630-790-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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