Central Dupage Physician Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CENTRAL DUPAGE PHYSICIAN GROUP

Doing business as

Northwestern Medicine Regional Medical Group

Practice address

820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694

Phone

(630) 225-2663

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Addresses

Other names 1

• Northwestern Medicine Regional Medical Group Doing business as

Locations

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": "1831433291",
    "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": "630-933-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S IL ROUTE 59",
            "address_2": "SUITE 320",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031694",
            "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": "193200000X MULTI-SPECIALTY 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"
        }
    ]
}

• Miranda Carolina Carrillo
• Jan Caskey
• Karlo Castro, PT, DPT, CSCS
• Sarah Jane Castro, PT
• Central Dupage Health
• Mary Diya Chalaveetil
• Sujai Chang
• Grace Chao, MS, RDN, LDN
• Charter Mental Care, S.C.
• Neha Chavda, PT, DPT

• Orthopaedic Surgery Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.