NPIMap

Organization Active NPI

Dupage Psychiatric Care PLLC

  • Psychiatry Physician
  • Oak Park, IL
National Provider Identifier
1801465695
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DUPAGE PSYCHIATRIC CARE PLLC
Practice address
1100 Lake St Ste LL60
Oak Park, IL 60301-1099
Phone
(708) 434-4080
Fax
(708) 948-7847
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Muralidhara Rao, MDNPI 1598732398
Title
President
Phone
(630) 366-7330

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1100 Lake St Ste LL60
Oak Park, IL 60301-1099

Mailing address

120 E Ogden Ave Ste 101-a
Hinsdale, IL 60521-3542

Other practice location 1

4711 Golf Rd Ste 535
Skokie, IL 60076-1224
Phone (630) 366-7330

Other practice location 2

1 E Erie St Ste 225
Chicago, IL 60611-4797
Phone (312) 216-1211

Other practice location 3

1737 S Naperville Rd Ste 203A
Wheaton, IL 60189-5894
Phone (515) 063-0344

Other practice location 4

120 E Ogden Ave Ste 101
Hinsdale, IL 60521-3892
Phone (630) 366-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301002600 IL Part B Supplier - Clinic/Group Practice 2062806490 Receives reassigned benefits from 19 practitioners
Practice locations: Chicago, IL; Wheaton, IL; Skokie, IL; Oak Park, IL; Hinsdale, IL; Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

1 E Erie St
Ste 225
Chicago, IL 60611
Phone (312) 216-1211

120 E Ogden Ave
Ste 101
Hinsdale, IL 60521
Phone (630) 366-7330

120 E Ogden Ave
Ste 101A
Hinsdale, IL 60521

1737 S Naperville Rd
Ste 203A
Wheaton, IL 60189

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1801465695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 101-A",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST STE LL60",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011099",
            "telephone_number": "708-434-4080",
            "fax_number": "708-948-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd Ste 535",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761224",
            "country_code": "US",
            "telephone_number": "630-366-7330",
            "fax_number": "630-481-4934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 E Erie St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114797",
            "country_code": "US",
            "telephone_number": "312-216-1211",
            "fax_number": "312-526-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1737 S Naperville Rd Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601895894",
            "country_code": "US",
            "telephone_number": "515-063-0344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E Ogden Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213892",
            "country_code": "US",
            "telephone_number": "630-366-7330",
            "fax_number": "630-481-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUPAGE PSYCHIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MURALIDHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-366-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.