DUPAGE MEDICAL GROUP, LTD. (NPI# 1063878965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063878965 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP, LTD. |
| Other Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
2100 Glenwood Ave Joliet IL 60435-5487 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 8157252121 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MIKE PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | IL | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| DuPage Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134584816 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 7000 Caton Farm Rd, Suite C, Plainfield, IL 60586-8107 | 2015-12-22 |
| 1497310023 | Dupage Medical Group, Ltd. | Durable Medical Equipment & Medical Supplies | 9618 Southwest Hwy, Oak Lawn, IL 60453-2862 | 2019-05-09 |
| 1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
| 1295194686 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 40 S Clay St, Hinsdale, IL 60521-3257 | 2016-02-15 |
| 1578920484 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 675 W North Ave, Melrose Park, IL 60160-1634 | 2016-01-22 |
| 1942667852 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 801 N Cass Ave, Westmont, IL 60559-1162 | 2016-01-22 |
| 1538526447 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 199 Town Sq, Wheaton, IL 60189-3801 | 2016-01-22 |
| 1154787059 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1240 Essington Rd, Joliet, IL 60435-8408 | 2016-01-07 |
| 1790140531 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 330 Madison St, Suite 103, Joliet, IL 60435-6565 | 2015-12-21 |
| 1194180919 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 | 2015-12-21 |
| Street Address |
2100 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675811 | Timothy Fendon | Emergency Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2005-08-10 |
| 1396371811 | Leonard Kevyn Banogon Ferolin | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2020-03-16 |
| 1093370611 | Kyle Ren Barcenas Fernando | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2019-05-08 |
| 1376034918 | Kathryn Schroeder | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-18 |
| 1033609763 | Matthew Peter Lukanich | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-17 |
| 1588151260 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-04-18 |
| 1790284487 | Daniel Capparelli | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-02-08 |
| 1831616044 | Michael John Donovitch | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-08-28 |
| 1700309895 | Michael Plachy Jr. | Physical Therapy Assistant | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-07-20 |
| 1487189551 | Alyssa Brown | Occupational Therapist | 2100 Glenwood Ave, Suite 110, Joliet, IL 60435-5487 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1073022364 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 4 W Cass St, Joliet, IL 60432-4116 | 2017-09-29 |
| 1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
| 1710138631 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2375 Drauden Rd, Joliet, IL 60435 | 2008-10-09 |
| 1285820605 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 301 Madison St Ste 114, Joliet, IL 60435-6549 | 2007-09-19 |
| 1710027255 | Rezin Orthopedics and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 1310 Houbolt Rd, Joliet, IL 60431-9215 | 2007-02-07 |
| 1851465702 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 694 Essington Rd, Joliet, IL 60435 | 2006-11-20 |
| 1922102862 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 809 Plainfield Rd, Joliet, IL 60435-4642 | 2006-09-12 |
| 1356358337 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2101 W Jefferson St, Joliet, IL 60435-6621 | 2006-08-02 |
| 1073529533 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1163 W Jefferson St, Joliet, IL 60435-6858 | 2006-08-01 |
| Find all providers in JOLIET | ||||
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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.