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DUPAGE MEDICAL GROUP LTD. NPI 1437394954


NPI Profile

NPI: 1437394954
Provider Name: DUPAGE MEDICAL GROUP, LTD.
Classification:Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D0688732

Address:
30 STRATFORD DR
BLOOMINGDALE, IL
ZIP 60108
Get Directions

Phone: (630) 893-2210

DUPAGE MEDICAL GROUP, LTD. is a durable medical equipment medical supplies in Bloomingdale, 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 1437394954. The provider is registered as an organization entity type.

The provider's business location address is:

30 STRATFORD DR
BLOOMINGDALE, IL
ZIP 60108-201
Phone: (630) 893-2210

The provider's authorized official is Michael Pacetti .
The authorized official title is Cfo and has the following contact phone number (630) 469-9200.

The CLIA number assigned to this NPI record is 14D0688732 - ancillary test site with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2008 and was last updated on 9/26/2012.


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
1335E00000XProsthetic/Orthotic Supplier042000124ILLINOISNo
2332B00000XDurable Medical Equipment & Medical Supplies042000124ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16180250011MEDICARE NSCILLINOIS
2785110OTHERILLINOISMEDICARE GROUP NUMBER

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: 6/14/2021

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