MEDICARE: CENTRAL DUPAGE PHYSICIAN GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician
2	207R00000X	Internal Medicine Physician
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
5	207RR0500X	Rheumatology Physician
6	207T00000X	Neurological Surgery Physician
7	207VX0201X	Gynecologic Oncology Physician
8	208000000X	Pediatrics Physician
9	2083S0010X	Sports Medicine (Preventive Medicine) Physician
10	2085N0700X	Neuroradiology Physician
11	2085R0204X	Vascular & Interventional Radiology Physician
12	208M00000X	Hospitalist Physician
13	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080116892	OTHER	IL	MEDICARE RAILROAD MWB

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0222075	OTHER	ID	BLUE CROSS GROUP NUMBER

General Provider Information

NPI Number	:	1033149844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL DUPAGE PHYSICIAN GROUP

Provider Business Mailing Address
First Line	:	5777 DEPARTMENT
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-5777
Country	:	US
Telephone Number	:	630-933-3300
Fax Number	:	630-933-2740

Provider Business Practice Location Address
First Line	:	5777 DEPARTMENT
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-5777
Country	:	US
Telephone Number	:	630-933-3300
Fax Number	:	630-933-2740

Authorized Official
Title or Position	:	PREIDENT
Name	:	PATRICK TOWNE
Credential	:	MD
Telephone Number	:	630-933-1600

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	04/03/2025

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