DUPAGE MEDICAL GROUP; NPI #1588016851

Contact Information

DUPAGE MEDICAL GROUP

17495 LA GRANGE RD
TINLEY PARK, IL 60487-7581

Phone: 708-226-7000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for DUPAGE MEDICAL GROUP

NPI # 1588016851

LBN Legal business name DUPAGE MEDICAL GROUP

Authorized official PAUL MERRICK - (CHAIRMAN OF THE BOARD)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2016

Last updated 10/13/2023 - About 3 years ago

Identifiers

License #

036087412

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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