Organization Active NPI

Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
National Provider Identifier
1760979447
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
036042072 Issued in IL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Merrick, MDNPI 1679541643
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130830000284 IL DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical 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.

National Provider Directory

National Provider Directory

Locations (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.

View all 1,647

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.

Verify at the official NPI Registry.