Active NPI
Central Dupage Physician Group
Doing business as Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Wheaton, IL
National Provider Identifier
1750625117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CENTRAL DUPAGE PHYSICIAN GROUP
- Doing business as
- Northwestern Medicine Regional Medical Group
- Practice address
- 7 Blanchard Cir
Suite 101
Wheaton, IL 60189-2037 - Phone
- (630) 225-2663
- NPI assigned
- Nov 23, 2012
- Last updated
- Jan 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debi Tapanes
- Title
- Director of Business Services
- Phone
- (630) 933-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
7 Blanchard Cir
Suite 101
Wheaton, IL 60189-2037
Mailing address
5777 Department
Carol Stream, IL 60122-5777
Phone (630) 933-3300
Other names 1
- Northwestern Medicine Regional Medical Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0936528 | Central Dupage Physician Group #112 | Certificate of waiver | Nov 23, 2027 |
| 14D2063276 | Northwestern Medicine Regional Medical Group | Certificate of waiver | Jul 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
7 Blanchard Cir
Ste 101
Wheaton, IL 60189
Phone (630) 653-0400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452556800000",
"number": "1750625117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 DEPARTMENT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601225777",
"telephone_number": "630-933-3300",
"fax_number": "630-833-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 101",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-225-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL DUPAGE PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-23",
"last_updated": "2016-01-12",
"status": "A",
"authorized_official_last_name": "TAPANES",
"authorized_official_first_name": "DEBI",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
"authorized_official_telephone_number": "630-933-1616"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwestern Medicine Regional Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheaton, IL
- Center for Assessment and Psychological Services
- Central Dupage Chiropractic and Rehabilitation Inc
- Central Dupage Health
- Central Dupage Imaging Center LLC
- Central Dupage Orthodontics, LTD.
- Central Dupage Special Health Association (CNS Home Infusion & Pharmacy)
- Central Dupage Special Health Association (CNS Home Infusion & Pharmacy)
- Susan Cepela
- Natalie T Cepynsky, OD
- Debra M Cerone, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.