Organization Active NPI

Central Dupage Physician Group

Doing business as Northwestern Medicine Regional Medical Group

  • Orthopaedic Surgery Physician
  • Wheaton, IL
National Provider Identifier
1750625117
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0936528Central Dupage Physician Group #1127 Blanchard Circle Ste 206, Wheaton, IL 60189Certificate of waiverNov 23, 2027
14D2063276Northwestern Medicine Regional Medical Group7 Blanchard Circle, #201, Wheaton, IL 60189Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.