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DU PAGE MEDICAL GROUP LTD NPI 1275117145


NPI Information

NPI: 1275117145
Provider Name: DU PAGE MEDICAL GROUP LTD
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D0907979

Address:
4061 W 95TH ST STE 1
OAK LAWN, IL
ZIP 60453
Phone: (630) 967-2000
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DU PAGE MEDICAL GROUP LTD is a durable medical equipment medical supplies in Oak Lawn, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DU PAGE MEDICAL GROUP LTD NPI is 1275117145. The provider is registered as an organization entity type.

The provider's business location address is:

4061 W 95TH ST STE 1
OAK LAWN, IL
ZIP 60453-611
Phone: (630) 967-2000
Fax: (630) 348-3942

The provider's authorized official is Paul Merrick .
The authorized official title is Chairman Of The Board and has the following contact phone number (630) 790-1221.

The CLIA number assigned to this NPI record is 14D0907979 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/7/2021 and was last updated on 10/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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