Dupage Medical Group LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

042000124 Issued in IL

Legal business name

DUPAGE MEDICAL GROUP LTD

Doing business as

DuPage Medical Group

Practice address

1100 W 31St St
Ste 300
Downers Grove, IL 60515-5509

Phone

(630) 469-9200

NPI assigned

May 31, 2006

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

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

Phone

(630) 790-1221

Specialties & licenses 7

Addresses

Other identifiers 6

Other names 1

• DuPage Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IL7 enrollments

Enrollment records 7

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Du Page Medical Group LTD

  dba M & M Orthopaedics a member of Du Page Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Hinsdale, IL
  • NPI 1104259258

  O20031110000348

  Same enrollment
• Dupage Medical Group, LTD

  • Durable Medical Equipment & Medical Supplies
  • Westmont, IL
  • NPI 1013566470

  O20200108000902

  Same enrollment
• Dupage Medical Group, LTD

  dba DuPage Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Aurora, IL
  • NPI 1043699309

  O20031110000348

  Same enrollment
• Dupage Medical Group, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Plainfield, IL
  • NPI 1013152537

  O20031110000348

  Same enrollment
• Dupage Medical Group, LTD.

  dba DuPage Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Joliet, IL
  • NPI 1063878965

  O20031110000348

  Same enrollment
• Dupage Medical Group, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Naperville, IL
  • NPI 1093953465

  O20031110000348

  Same enrollment

Locations (25 of 331)

Practitioners 1,828

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.

• Paul Merrick, MD

  • Urology Physician
  • Lisle, IL
  • NPI 1679541643
  Medicare reassignment Care Compare group NPD Authorized official
• Worood Abboud, M.D.

  • Hematology & Oncology Physician
  • Joliet, IL
  • NPI 1245325018
  Medicare reassignment Care Compare group NPD
• Ahmad Abdul Karim, M.D

  • Clinical Cardiac Electrophysiology Physician
  • Joliet, IL
  • NPI 1588721328
  Medicare reassignment Care Compare group NPD
• James Abraham, MD

  • Gastroenterology Physician
  • Naperville, IL
  • NPI 1427276732
  Medicare reassignment Care Compare group NPD
• Jeanette Tourtelot Ackland, APRN

  • Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1902625585
  Medicare reassignment Care Compare group NPD
• Samantha R Adamczyk, PA-C

  • Physician Assistant
  • Naperville, IL
  • NPI 1093016016
  Medicare reassignment Care Compare group NPD
• Nozaina Aftab, MD

  • Infectious Disease Physician
  • Lombard, IL
  • NPI 1629158662
  Medicare reassignment Care Compare group NPD
• Guy Agostino, M.D.

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1992769822
  Medicare reassignment Care Compare group NPD
• Asrar Ahmed, D.O

  • Hospitalist Physician
  • Elmhurst, IL
  • NPI 1407298334
  Medicare reassignment Care Compare group NPD
• Iffat Sultana Ahmed, D.O.

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063668192
  Medicare reassignment Care Compare group NPD
• Khursheed Ahmed, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1619917523
  Medicare reassignment Care Compare group NPD
• Nicole Brandi Ahmed, MD

  • Hospitalist Physician
  • Winfield, IL
  • NPI 1295316982
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1801833983",
    "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": "1100 W 31ST ST",
            "address_2": "STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155509",
            "telephone_number": "630-469-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "630-790-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "042000124",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "042000124",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "042000124",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054018228",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "042000124",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054018228",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "200502",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "569810",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "205994",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "584330",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568660",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "785110",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DuPage Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Dunajski, RN
• Dupage County Diagnostics LLC
• Dupage Emergency Physicians LTD
• Dupage Eye Associates S.C.
• Dupage Eye Center, LTD. (DuPage Eye Center)
• Dupage Medical Group, LTD (DuPage Medical Group)
• Dupage Medical Group, LTD
• Dupage Medical Group, LTD. (DuPage Medical Group)
• Joshua Duplessis, DC, ATC
• Trinidad Parungao Duran, RN

• Multi-Specialty Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.