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DUPAGE MEDICAL GROUP LTD NPI 1588151260


NPI Information

NPI: 1588151260
Provider Name: DUPAGE MEDICAL GROUP LTD

Other Name: DUPAGE MEDICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D0419235

Address:
2100 GLENWOOD AVE # L101
JOLIET, IL
ZIP 60435
Phone: (815) 999-3501
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DUPAGE MEDICAL GROUP LTD is a durable medical equipment medical supplies in Joliet, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DUPAGE MEDICAL GROUP LTD NPI is 1588151260. The provider is registered as an organization entity type.
The provider Other Name Is Dupage Medical Group.

The provider's business location address is:

2100 GLENWOOD AVE # L101
JOLIET, IL
ZIP 60435-487
Phone: (815) 999-3501

The provider's authorized official is Paul Merrick .
The authorized official title is President, Board Of Directors and has the following contact phone number (630) 469-9200.

The CLIA number assigned to this NPI record is 14D0419235 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 10/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies036042072ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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