DU PAGE MEDICAL GROUP LTD (NPI# 1154481588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154481588 |
| Entity Type | Organization |
| Organization Name | DU PAGE MEDICAL GROUP LTD |
| Other Organization Name | LAGRANGE ROAD PHARMACY |
| Practice Address |
17495 La Grange Rd Tinley Park IL 60487-7581 |
| Practice Telephone | 7082267100 |
| Practice Fax Number | 7082267178 |
| Mailing Telephone | 7082267100 |
| Mailing Fax Number | 7082267178 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | NITIKA AGARWAL (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6304326371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 054019950 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162402 | 01 |
| Other Name | Type Code |
|---|---|
| LaGrange Road Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1366063448 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 815 Pasquinelli Dr Ste 102, Westmont, IL 60559-1276 | 2020-04-30 |
| 1700411030 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4003 S Route 59 Ste 100, Naperville, IL 60564-5802 | 2020-03-06 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1982191821 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 536 S York St Ste 4220, Elmhurst, IL 60126-3952 | 2018-04-17 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1588180285 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 13462 S Archer Ave, Lemont, IL 60439-4755 | 2017-08-15 |
| 1801833983 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1100 W 31st St, Ste 300, Downers Grove, IL 60515-5509 | 2006-05-31 |
| 1265067599 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 640 S Washington St Ste 268, Naperville, IL 60540-6694 | 2020-03-06 |
| 1093345514 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 E 9th St, Lockport, IL 60441-2404 | 2020-01-23 |
| Street Address |
17495 LA GRANGE RD |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-7581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750101 | Saoud Loutfi | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2005-09-20 |
| 1649885880 | Lizandro Sanchez | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2020-09-14 |
| 1336785088 | Katie Lynn Morton | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-11-18 |
| 1598309940 | Jessica Lynne Fiehler | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-10-29 |
| 1396229043 | Sarah Traverso | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-09-19 |
| 1043712730 | Jennifer Lynn Meter | Social Worker | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-03-08 |
| 1346768199 | Flor Delgado | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-08-31 |
| 1427594225 | Valerie Paluszak | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-01-17 |
| 1770027872 | Maria Cesario | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-12-07 |
| 1386186971 | Nicole Jenette Golak | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003289281 | Tinley Park Apothecary LLC | Pharmacy | 17320 Oak Park Ave, Tinley Park, IL 60477-3404 | 2015-11-10 |
| 1346313251 | Highland Park Cvs, L.L.C. | Pharmacy | 9551 171st Street, Tinley Park, IL 60487 | 2006-11-16 |
| 1114009909 | Rxm Pharmacy Inc | Pharmacy | 7545 W 159th St, Tinley Park, IL 60477-9305 | 2006-10-20 |
| 1598293342 | Medizone Pharmacy Inc | Pharmacy | 6700 167th St Ste 2, Tinley Park, IL 60477-2078 | 2017-05-24 |
| 1265567440 | Reidy Medical Pharmacy | Pharmacy | 18210 La Grange Rd, 101, Tinley Park, IL 60477-7722 | 2007-02-21 |
| 1306877451 | K Mart Corp | Pharmacy | 16300 Harlem Ave, Tinley Park, IL 60477-2576 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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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.