DMG SURGICAL CENTER LLC NPI 1710924899

NPI Information

NPI: 1710924899
Provider Name: DMG SURGICAL CENTER LLC

Other Name: SURGICAL CENTER OF DUPAGE MEDICAL GROUP

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2725 SOUTH TECHNOLOGY DR
LOMBARD, IL
ZIP 60148
Phone: (630) 348-3300
Get Directions

DMG SURGICAL CENTER LLC is an ambulatory surgical clinic center in Lombard, IL. DMG SURGICAL CENTER LLC NPI is 1710924899. The provider is registered as an organization entity type.
The provider Other Name Is Surgical Center Of Dupage Medical Group.

The provider's business location address is:

2725 SOUTH TECHNOLOGY DR
LOMBARD, IL
ZIP 60148-675
Phone: (630) 348-3300

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) 790-1221.

The CLIA number assigned to this NPI record is 14D1038587 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/17/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	7003023	ILLINOIS	No
2	261QS0132X	Clinic/Center	Ophthalmologic Surgery	7003023	ILLINOIS	No
3	261QS0132X	Clinic/Center	Ophthalmologic Surgery		ILLINOIS	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		7003023	ILLINOIS	No
5	332B00000X	Durable Medical Equipment & Medical Supplies			ILLINOIS	No
6	261QA1903X	Clinic/Center	Ambulatory Surgical		ILLINOIS	Yes

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

NPI Synchronization or Removal

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