Dupage Medical Group, Ltd in Blue Island - Multi-specialty

Dupage Medical Group, Ltd - NPI 1700839230

Dupage Medical Group, Ltd is a Multi-specialty in Blue Island, Illinois. Dupage Medical Group, Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Dupage Medical Group, Ltd is 1700839230. The last update date is 2023-10-13.

Dupage Medical Group, Ltd's current location address is 2320 High St, Blue Island, Illinois. You can contact this provider via phone number 7083885500 and fax number 7082267170. The mailing address for Dupage Medical Group, Ltd is 2320 High St, Blue Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dupage Medical Group, Ltd
Address 2320 High St, Blue Island, Illinois
Phone Number 7083885500
Fax Number 7082267170
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHAIRMAN O
Authorized Official Name Merrick Paul
Credentials MD
Telephone Number 6307901221

NPI Number Detail

NPI Number 1700839230
Provider Enumeration Date 2006-05-18
Last Updated Date 2023-10-13

Provider Mailing Address Detail

Address 2320 High St
City Blue Island
State Illinois (IL)
Post Code 604062426
Phone Number 7083885500
Fax Number 7082267170

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CD5640 IL RAILROAD MEDICARE
1621031 IL BCBS PROVIDER ID
IL3596 IL LOCALITY15 MEDICARE

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FAQs about Dupage Medical Group, Ltd

What is the unique 10-digit identifier code issued to Dupage Medical Group, Ltd by the Centers for Medicare & Medicaid Services?

The Dupage Medical Group, Ltd has been assigned the NPI (National Provider Identifier) 1700839230 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Dupage Medical Group, Ltd is located?

The Dupage Medical Group, Ltd is situated at the following address: 2320 High St, Blue Island, IL, 604062426.

What is Dupage Medical Group, Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dupage Medical Group, Ltd is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.

On what date was the 1700839230 assigned to Dupage Medical Group, Ltd?

The Dupage Medical Group, Ltd was issued its 1700839230 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Dupage Medical Group, Ltd's information last updated?

The Dupage Medical Group, Ltd's information was last updated on 2023-10-13.

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