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CENTRAL DUPAGE PHYSICIAN GROUP NPI 1477897833


NPI Information

NPI: 1477897833
Provider Name: CENTRAL DUPAGE PHYSICIAN GROUP

Doing Business As: NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 14D0415986

Address:
885 ROOSEVELT RD
SUITE 300
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 225-2663
Get Directions

CENTRAL DUPAGE PHYSICIAN GROUP is an orthopaedic surgery in Glen Ellyn, IL. The provider is 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. CENTRAL DUPAGE PHYSICIAN GROUP NPI is 1477897833. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwestern Medicine Regional Medical Group.

The provider's business location address is:

885 ROOSEVELT RD
SUITE 300
GLEN ELLYN, IL
ZIP 60137-141
Phone: (630) 225-2663

The provider's authorized official is Debi Tapanes .
The authorized official title is Director Of Business Services and has the following contact phone number (630) 933-1616.

The CLIA number assigned to this NPI record is 14D0415986 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2012 and was last updated on 1/12/2016.


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
1207X00000XOrthopaedic SurgeryYes

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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