DUPAGE MEDICAL GROUP, LTD (NPI# 1043699309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043699309 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP, LTD |
| Other Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
651 S Route 59 Aurora IL 60504-8169 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309672000 |
| Practice Fax Number | 6305478001 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | MR. MICHAEL PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUPAGE MEDICAL GROUP, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 042000124 | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 042000124 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP PTAN | 205994 | 01 |
| IL | MEDICARE GROUP PTAN | 785110 | 01 |
| Other Name | Type Code |
|---|---|
| DuPage Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098669 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 9618 Southwest Hwy Ste Ll, Oak Lawn, IL 60453-2862 | 2019-05-13 |
| 1679906721 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 76 W. Countryside Parkway, Suite 1, Yorkville, IL 60560-1969 | 2013-08-13 |
| 1851425714 | Dupage Medical Group, Ltd | Clinic/Center | 1100 31st St, Ste. 300, Downers Grove, IL 60515-5509 | 2007-03-15 |
| 1801963855 | Dupage Medical Group, Ltd | Pharmacy | 2320 High Street, Blue Island, IL 60406 | 2006-11-28 |
| 1043751753 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 150 E Willow Ave, Suite 110, Wheaton, IL 60187-5476 | 2017-03-14 |
| 1689115388 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 1163 E Ogden Ave, Suite 719, Naperville, IL 60563-1687 | 2017-03-14 |
| 1407397110 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 16108 S Route 59 Ste 132, Plainfield, IL 60586-2920 | 2017-03-14 |
| 1144685975 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2015-12-21 |
| 1891933255 | Dupage Medical Group, Ltd | Eyewear Supplier (Equipment, not the service) | 1327 Butterfield Rd, 618, Downers Grove, IL 60515-1078 | 2009-01-23 |
| 1588809008 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 908 N Elm St, 103, Hinsdale, IL 60521-3635 | 2008-12-12 |
| Street Address |
651 S ROUTE 59 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-8169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942230016 | Kathleen Coffel | Occupational Therapist | 651 S Route 59, Aurora, IL 60504-8169 | 2006-07-04 |
| 1144790536 | Paige Lucas | Physical Therapist | 651 S Route 59, Aurora, IL 60504-8169 | 2018-11-28 |
| 1972939593 | Elizabeth Bludgen | Physical Therapist | 651 S Route 59, Aurora, IL 60504-8169 | 2013-09-16 |
| 1700138872 | Kelly A Einbecker | Physical Therapist | 651 S Route 59, Aurora, IL 60504-8169 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537762 | Moa LLC | Durable Medical Equipment & Medical Supplies | 2851 S Parker Rd Ste 984, Aurora, CO 80014-2705 | 2020-01-21 |
| 1871134544 | Tori Velasquez | Durable Medical Equipment & Medical Supplies | 13950 E Oxford Pl Apt A301, Aurora, CO 80014-7122 | 2019-10-03 |
| 1699321778 | Rocky Mountain Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3350 Peoria St Ste 100, Aurora, CO 80010-1484 | 2019-08-14 |
| 1619522943 | Entramed, Inc | Durable Medical Equipment & Medical Supplies | 2821 S Parker Rd Ste 405, Aurora, CO 80014-2748 | 2019-08-05 |
| 1962063305 | Mta Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2620 S Parker Rd Ste 273, Aurora, CO 80014-1627 | 2019-06-26 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1023573466 | Star Medical | Durable Medical Equipment & Medical Supplies | 7039 S Picadilly St, Aurora, CO 80016-2344 | 2019-02-08 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1255839759 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 21111 E 36th Dr, Aurora, CO 80011-8152 | 2018-01-30 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.