Active NPI
Dupage Medical Group LTD
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 036042072
- Legal business name
- DUPAGE MEDICAL GROUP LTD
- Practice address
- 430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464 - Phone
- (331) 551-5051
- NPI assigned
- Apr 18, 2018
- Last updated
- Sep 19, 2023
- 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
- Paul Merrick, MD
- Title
- President, Board of Directors, MD
- Phone
- (630) 790-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 036042072 | IL | Primary |
Addresses
Primary practice location
430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130830000284 | IL | DME Supplier - Independently-Practicing Occupational Therapist | 5496667941 |
1 other NPI on this enrollment Practice locations: Glen Ellyn, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Du Page Medical Group
- Durable Medical Equipment & Medical Supplies
- Lombard, IL
- NPI 1295172096
O20130830000284
National Provider Directory
National Provider DirectoryLocations (25 of 80)
1038 N Rohlwing Rd
Addison, IL 60101
Phone (708) 745-5743
303 W Lake St
Ste 105
Addison, IL 60101
Phone (708) 628-8889
1029 E New York St
Aurora, IL 60505
Phone (630) 226-9303
1900 Ogden Ave
Ste 210
Aurora, IL 60504
Phone (630) 375-1900
231 S Gary Ave
Ste 114
Bloomingdale, IL 60108
Phone (312) 665-1626
145 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 359-8721
701 Village Center Dr
Ste 860
Burr Ridge, IL 60527
393 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 665-6500
3743 Highland Ave
Ste 1003
Downers Grove, IL 60515
Phone (630) 964-6049
5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888
1141 E Main St
Ste 105
East Dundee, IL 60118
Phone (847) 428-3322
1435 N Randall Rd
Ste 310
Elgin, IL 60123
Phone (847) 488-0800
536 S York St
Ste 4220
Elmhurst, IL 60126
Phone (630) 758-8838
2850 W 95th St
Ste 403
Evergreen Pk, IL 60805
Phone (708) 423-2662
222 Colorado Ave
Frankfort, IL 60423
Phone (815) 469-2123
428 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7770
430 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7576
430 Pennsylvania Ave
Ste 170
Glen Ellyn, IL 60137
Phone (630) 322-8300
430 Pennsylvania Ave
Ste 240
Glen Ellyn, IL 60137
Phone (630) 510-6929
430 Pennsylvania Ave
Ste A
Glen Ellyn, IL 60137
854 Roosevelt Rd
Ste E10
Glen Ellyn, IL 60137
40 S Clay St
Ste LL10
Hinsdale, IL 60521
Phone (630) 432-6848
40 S Clay St
Ste LL1O
Hinsdale, IL 60521
Phone (630) 432-6848
908 N Elm St
Fl 2
Hinsdale, IL 60521
Phone (630) 286-5050
908 N Elm St
Ste 103
Hinsdale, IL 60521
Phone (630) 286-5060
Practitioners & affiliated clinicians
Practitioners 1,647
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
-
- Hematology & Oncology Physician
- Joliet, IL
- NPI 1245325018
-
- Clinical Cardiac Electrophysiology Physician
- Joliet, IL
- NPI 1588721328
-
- Gastroenterology Physician
- Naperville, IL
- NPI 1427276732
-
- Nurse Practitioner
- Hoffman Estates, IL
- NPI 1902625585
-
- Obstetrics & Gynecology Physician
- Geneva, IL
- NPI 1720030893
-
- Physician Assistant
- Naperville, IL
- NPI 1093016016
-
- Infectious Disease Physician
- Lombard, IL
- NPI 1629158662
-
- Family Medicine Physician
- La Grange, IL
- NPI 1992769822
-
- Obstetrics & Gynecology Physician
- Naperville, IL
- NPI 1679660229
-
- Internal Medicine Physician
- New Lenox, IL
- NPI 1447446521
-
- Neurology Physician
- Arlington Heights, IL
- NPI 1285635466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695081600000",
"number": "1760979447",
"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": "430 PENNSYLVANIA AVE STE 240",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374464",
"telephone_number": "331-551-5051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPAGE MEDICAL GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A",
"authorized_official_last_name": "MERRICK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS, MD",
"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": "036042072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.