Organization Active NPI

Central Dupage Physician Group

  • Orthopaedic Surgery Physician
  • Naperville, IL
National Provider Identifier
1194069559
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTRAL DUPAGE PHYSICIAN GROUP
Practice address
101 E 75TH St
Suite 100
Naperville, IL 60565-1469
Phone
(630) 225-2663
NPI assigned
Nov 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debi Tapanes
Title
Director of Business Services
Phone
(630) 933-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

101 E 75TH St
Suite 100
Naperville, IL 60565-1469

Mailing address

5777 Department
Carol Stream, IL 60122-5777
Phone (630) 933-3300

Other names 1

  • Northwestern Medicine Regional Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1194069559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 DEPARTMENT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601225777",
            "telephone_number": "630-933-3300",
            "fax_number": "630-933-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 75TH ST",
            "address_2": "SUITE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651469",
            "telephone_number": "630-225-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "TAPANES",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "630-933-1616"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Medicine Regional Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.