NPIMap

Organization Active NPI

Du Page Medical Group, LTD

  • Durable Medical Equipment & Medical Supplies
  • Plainfield, IL
National Provider Identifier
1356632319
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
042000124 Issued in IL
Legal business name
DU PAGE MEDICAL GROUP, LTD
Practice address
12004 RT. 59
Plainfield, IL 60585
Phone
(630) 510-6929
NPI assigned
Apr 26, 2011
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DU PAGE MEDICAL GROUP, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Paul Merrick, MDNPI 1679541643
Title
Chairman of the Board
Phone
(630) 790-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 042000124 IL Primary
Prosthetic/Orthotic Supplier 335E00000X 042000124 IL

Addresses

Primary practice location

12004 RT. 59
Plainfield, IL 60585

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 2

IdentifierTypeStateIssuer
785110OtherILMEDICARE GROUP NUMBER
569810OtherILMEDICARE GROUP NUMBERS

National Provider Directory

National Provider Directory
Part of
Glen Ellyn Allergy Dept

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1356632319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12004 RT. 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "630-510-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DU PAGE MEDICAL GROUP, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DU PAGE MEDICAL GROUP, LTD",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "630-790-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "042000124",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "042000124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "785110",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBERS",
            "identifier": "569810",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.