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 170, Glen Ellyn IL 60137-4464. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Dupage Medical Group, Ltd. can be contacted via phone (630) 322-8300, or through Merrick, Paul via phone (630) 790-1221.

Contact Information

Primary practice address
430 Pennsylvania Ave 170 Glen Ellyn IL 60137-4464
Phone: (630) 322-8300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Merrick, Paul Doctor of Medicine (MD)
Phone: (630) 790-1221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 042-000124 Illinois

Profile Details

NPI number 1528206984
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 Jan 23rd, 2009
Last updated Oct 13th, 2023 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528206984 NPPES
Illinois Other 785110 MEDICARE GROUP NUMBER

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