NPIMap

Organization Active NPI

Dupage Obstetrics and Gynecology, S.C.

  • Obstetrics & Gynecology Physician
  • Wheaton, IL
National Provider Identifier
1285645481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DUPAGE OBSTETRICS AND GYNECOLOGY, S.C.
Practice address
2001 W Wiesbrook Rd
Wheaton, IL 60187-7813
Phone
(630) 653-4240
Fax
(630) 614-4133
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael G Larry, M. D.NPI 1164433348
Title
President
Phone
(630) 653-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

2001 W Wiesbrook Rd
Wheaton, IL 60187-7813

Mailing address

2001 W Wiesbrook Rd
Wheaton, IL 60187-7813
Phone (630) 653-4240

National Provider Directory

National Provider Directory

Locations

302 Randall Rd
Ste 30
Geneva, IL 60134
Phone (630) 208-0784

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285645481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601877813",
            "telephone_number": "630-653-4240",
            "fax_number": "630-614-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601877813",
            "telephone_number": "630-653-4240",
            "fax_number": "630-614-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE OBSTETRICS AND GYNECOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-653-4240",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.