Dupage Medical Group, Ltd in Tinley Park - Multi-specialty
Dupage Medical Group, Ltd - NPI 1780868562
Dupage Medical Group, Ltd is a Multi-specialty in Tinley Park, 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 1780868562. The last update date is 2023-10-13.
Dupage Medical Group, Ltd's current location address is 17495 La Grange Rd, Tinley Park, Illinois. You can contact this provider via phone number 7082267000 and fax number 7082267174. The mailing address for Dupage Medical Group, Ltd is 17495 La Grange Rd, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dupage Medical Group, Ltd |
|---|---|
| Address | 17495 La Grange Rd, Tinley Park, Illinois |
| Phone Number | 7082267000 |
| Fax Number | 7082267174 |
| 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 | 1780868562 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2023-10-13 |
Provider Mailing Address Detail
| Address | 17495 La Grange Rd |
|---|---|
| City | Tinley Park |
| State | Illinois (IL) |
| Post Code | 604877581 |
| Phone Number | 7082267000 |
| Fax Number | 7082267174 |
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 | LOCALITY 15 MEDICARE |
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What is the unique 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) 1780868562. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dupage Medical Group, Ltd located?
The Dupage Medical Group, Ltd is located at 17495 La Grange Rd, Tinley Park, IL 604877581.
What is Dupage Medical Group, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dupage Medical Group, Ltd's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
On what date was the 1780868562 assigned to Dupage Medical Group, Ltd?
The Dupage Medical Group, Ltd was issued its 1780868562 on 2007-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dupage Medical Group, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dupage Medical Group, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-13.
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