Dupage Medical Group, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

042000124 Issued in IL

Legal business name

DUPAGE MEDICAL GROUP, LTD.

Practice address

30 Stratford Dr
Bloomingdale, IL 60108-2201

Phone

(630) 893-2210

NPI assigned

Dec 12, 2008

Organization subpart

Yes

Parent organization

DUPAGE MEDICAL GROUP, LTD.As reported in NPPES

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

Authorized official

Name

Paul Merrick, MD

Title

Chairman of the Board

Phone

(630) 790-1221

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Glen Ellyn Clinic SC la

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1437394954",
    "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": "30 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-893-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE MEDICAL GROUP, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUPAGE MEDICAL GROUP, LTD.",
        "enumeration_date": "2008-12-12",
        "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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Boyer & Scheive D D S P C
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• Roanne F Dunaway, P.A.-C.
• Dupage Cardiology SC
• Dupage Medical Group LTD
• Dupage Meta-Vascular Medicine PC
• Duraes Jham Dental, P.C
• Gabriela V Duraes, DDS
• Autumn Blaire M Durias, O.D.
• Daniel Patrick Durkin, DC

• Durable Medical Equipment & Medical Supplies in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• 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.