Organization Active NPI

Du Page Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Downers Grove, IL
National Provider Identifier
1487087532
Registry record updated Oct 13, 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
4115 Fairview Ave
Downers Grove, IL 60515-2268
Phone
(630) 968-1881
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

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

Addresses

Primary practice location

4115 Fairview Ave
Downers Grove, IL 60515-2268

Mailing address

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

Other names 1

  • M & M Orthopaedics a member of Du Page Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1487087532",
    "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": "4115 FAIRVIEW AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152268",
            "telephone_number": "630-968-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DU PAGE MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "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": [
        {
            "organization_name": "M & M Orthopaedics a member of Du Page Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M & M Orthopaedics a member of Du Page Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

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.

Verify at the official NPI Registry.