DU PAGE MEDICAL GROUP LTD (NPI# 1295172096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295172096 |
| Entity Type | Organization |
| Organization Name | DU PAGE MEDICAL GROUP LTD |
| Other Organization Name | DU PAGE MEDICAL GROUP |
| Practice Address |
1801 S Highland Ave L10 Lombard IL 60148-4932 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6308738860 |
| Mailing Telephone | 6308738860 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | MICHAEL PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DU PAGE MEDICAL GROUP |
| 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 |
| Other Name | Type Code |
|---|---|
| Du Page Medical Group | 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 |
1801 S HIGHLAND AVE L10 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796009 | Natalie Mecum | Physician Assistant | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2005-08-10 |
| 1770198152 | Melanie Samuels | Audiologist-Hearing Aid Fitter | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2020-09-11 |
| 1548731326 | Kayla Covarrubias | Occupational Therapist | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2018-12-05 |
| 1124535992 | Kristin Magnus | Physical Therapist | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2018-01-03 |
| 1215442256 | Kimberly Mays Benson | Physical Therapist | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2017-12-13 |
| 1982153995 | Rachel Elizabeth Steele | Nurse Practitioner | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2016-10-03 |
| 1356714075 | Katie Gillies | Physician Assistant | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2015-11-03 |
| 1780089680 | Caitlin Kremer | Physical Therapist | 1801 S Highland Ave, Suitel10, Lombard, IL 60148-4932 | 2014-11-04 |
| 1316347347 | Dupage Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1801 S Highland Ave, Suite L10, Lombard, IL 60148-4932 | 2014-08-27 |
| 1053738385 | Ellen V. Kroin | Orthopaedic Surgery | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| 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 |
|---|---|---|---|---|
| 1477098978 | Roundy's Supermarkets, Inc | Durable Medical Equipment & Medical Supplies | 345 W Roosevelt Rd, Lombard, IL 60148-4219 | 2016-12-20 |
| 1992198766 | Upgrade Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 2340 S Highland Ave Ste 140, Lombard, IL 60148-5395 | 2015-03-18 |
| 1629230024 | Milla Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 1249 S Main Street, Lombard, IL 60148 | 2008-06-26 |
| 1760651707 | Ajaz U Ahad | Durable Medical Equipment & Medical Supplies | 514 Aspen Dr, Lombard, IL 60148-4248 | 2008-02-25 |
| 1942492301 | Milla Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 1249 S. Main St, Lombard, IL 60148-1249 | 2007-08-09 |
| 1659429934 | Firm Foundations, Ltd. | Durable Medical Equipment & Medical Supplies | 28 Yorktown Convenience Ctr, Lombard, IL 60148-5528 | 2007-01-05 |
| 1730283672 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 E Roosevelt Rd, Lombard, IL 60148-4166 | 2006-09-12 |
| 1700995990 | Rehabtech, Inc. | Durable Medical Equipment & Medical Supplies | 335 Eisenhower Ln S, Lombard, IL 60148-5406 | 2006-08-30 |
| 1437164753 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 309 W Saint Charles Rd, Lombard, IL 60148-2234 | 2006-07-29 |
| 1215959028 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 60 Yorktown Shopping Ctr, Lombard, IL 60148-5529 | 2006-07-24 |
| Find all providers in LOMBARD | ||||
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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.