Dupage Emergency Physicians LTD
Organization Active NPI Emergency Medicine Physician · Downers Grove, IL
NPI 1255323481 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1255323481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- DUPAGE EMERGENCY PHYSICIANS LTD
- Practice address
- 3815 Highland Ave
Downers Grove, IL 60515-1500 - Phone
- (630) 275-5900
- Fax
- (630) 734-1560
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Marc Spiller, MD
- Title
- President
- Phone
- (888) 447-2450
Member organizations 1
Practitioners 57
-
Aristides Alexander, M.D.
-
Benazir Baig, MD
-
Michael Cirone, M.D.
-
Nicole M. Colucci, D.O.
-
Asma S Hashim, DO
-
Maddelynn Hawkins, M.D.
-
Imad Ali Khan, DO
-
Tanner Olinger, DO
-
Robert P. Rifenburg, D.O.
-
Jessica Sime, MD
-
Marc R. Spiller, M.D.
-
Sean Watts, MD
-
Jennifer Woodruff, M.D.
-
Tasneem Ahmed, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040503000606 | IL | Part B Supplier - Clinic/Group Practice | 6507854288 |
Receives reassigned benefits from 47 practitioners Practice locations: Downers Grove, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Family Medicine Physician |
207Q00000X |
Addresses
Primary practice location
3815 Highland Ave
Downers Grove, IL 60515-1500
Mailing address
PO Box 95279
Chicago, IL 60694-5279
Phone (877) 485-4474
Other providers in Downers Grove, IL
- Jordan Dubow
- Teresa Duda
- Meghan Catherine Dugaw
- Cheryl Dunajski
- Dupage County Diagnostics LLC
- Dupage Eye Associates S.C.
- Dupage Eye Center, LTD.
- Dupage Medical Group LTD
- Dupage Medical Group, LTD
- Dupage Medical Group, LTD
All providers in Downers Grove, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.