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

515 Thornhill Dr
Carol Stream, IL 60188-2703

Phone

(630) 225-2663

NPI assigned

Nov 26, 2012

Last updated

Jan 12, 2016By 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

Debi Tapanes

Title

Dirctor 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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1972847317",
    "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": "515 THORNHILL DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882703",
            "telephone_number": "630-225-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "TAPANES",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "DIRCTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "630-933-1616"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Medicine Regional Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Dupage Health (Midwest Pathology Services)
• Central Dupage Orthotics
• Central Dupage Pastoral Counseling Center
• Central Dupage Physical Medicine LT
• Central Dupage Physician Group (Northwestern Medicine Regional Medical Group)
• Central Dupage Surgical, Inc
• Brett Chamernik, M.D.
• Frank C Chao, MD
• Panhavut Chim, DMD
• Chrisp Ventures, LLC

• Orthopaedic Surgery Physician in Carol Stream, IL
• Providers in Carol Stream, 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.