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14D0415986 CLIA NUMBER - CENTRAL DUPAGE PHYSICIAN GROUP

Laboratory Demographics

CLIA Number: 14D0415986

Facility Name: CENTRAL DUPAGE PHYSICIAN GROUP

Facility Address:
444 N PARK BLVD
GLEN ELLYN, IL
ZIP 60137
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Facility Phone Number: 630 469-0045

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477897833

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 14D0415986
LAB Type Physician Office
Facility Name CENTRAL DUPAGE PHYSICIAN GROUP
Street 444 N PARK BLVD
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 469-0045
CertificateType 4
CertificateEffectiveDate 12/13/2023
CertificateExpirationDate 12/12/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024