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DU PAGE MEDICAL GROUP LTD NPI 1992202535


NPI Information

NPI: 1992202535
Provider Name: DU PAGE MEDICAL GROUP LTD

Doing Business As: DUPAGE MEDICAL GROUP, LTD

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

CLIA Number: 14D2132599

Address:
16660 SOUTH 107TH AVENUE
ORLAND PARK, IL
ZIP 60467
Phone: (708) 403-8500
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DU PAGE MEDICAL GROUP LTD is a durable medical equipment medical supplies in Orland Park, 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. DU PAGE MEDICAL GROUP LTD NPI is 1992202535. The provider is registered as an organization entity type.
The provider Is Doing Business As Dupage Medical Group, Ltd.

The provider's business location address is:

16660 SOUTH 107TH AVENUE
ORLAND PARK, IL
ZIP 60467
Phone: (708) 403-8500

The provider's authorized official is Paul Merrick .
The authorized official title is Chairman Of The Board and has the following contact phone number (630) 790-1221.

The CLIA number assigned to this NPI record is 14D2132599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 10/13/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 5/5/2024

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