Active NPI
Dupage Medical Group, LTD.
- Durable Medical Equipment & Medical Supplies
- Wheaton, IL
National Provider Identifier
1457596124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 042000124
- Legal business name
- DUPAGE MEDICAL GROUP, LTD.
- Practice address
- 1800 N Main St
Wheaton, IL 60187-3112 - Phone
- (630) 665-6200
- NPI assigned
- Dec 10, 2008
- Last updated
- Oct 13, 2023
- Organization subpart
- Yes
- Parent organization
- DUPAGE MEDICAL GROUP, LTD.
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 042000124 | IL | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 042000124 | IL |
Addresses
Primary practice location
1800 N Main St
Wheaton, IL 60187-3112
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
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.
-
- Urology Physician
- Lisle, IL
- NPI 1679541643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1457596124",
"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": "1800 N MAIN ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873112",
"telephone_number": "630-665-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPAGE MEDICAL GROUP, LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUPAGE MEDICAL GROUP, LTD.",
"enumeration_date": "2008-12-10",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"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": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
- Dupage Eye Anesthesiology LLC
- Dupage Eye Surgery Center, LLC
- Dupage Foot and Ankle LLC
- Dupage Foot and Ankle, LLC
- Dupage Medical Group, LTD
- Dupage Medical Group, LTD. (DuPage Medical Group)
- Dupage Medical Group, LTD. (DuPage Medical Group)
- Dupage Mental Health Services, LTD.
- Dupage Neurosurgery SC
- Dupage Obstetrics and Gynecology, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.