| NPI | 1801833983 |
|---|---|
| Doing Business As | DUPAGE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PAUL MERRICK President, Board Of Directors 630-790-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 042000124) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 042000124) |
| 333600000X Pharmacy (Licence: IL 054018228) | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054018228) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018228) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042000124) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 042000124) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2023-08-24 |