DUPAGE MEDICAL GROUP LTD (NPI# 1316347347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316347347 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP LTD |
| Other Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
1801 S Highland Ave Suite L10 Lombard IL 60148-4932 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309672000 |
| Practice Fax Number | 6302616901 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | MICHAEL PACETTI (CFO) |
| Authorized Official Telephone | 6304969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 042000124 | IL | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 042000124 | IL | Suppliers |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070020798 | IL | Ambulatory Health Care Facilities |
| 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 |
|---|---|---|---|---|
| 1528309291 | Dupage Medical Group Ltd | Clinical Medical Laboratory | 430 Warrenville Rd, Ste 210, Lisle, IL 60532-1348 | 2013-03-06 |
| Street Address |
1801 S HIGHLAND AVE SUITE 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 |
| 1053738385 | Ellen V. Kroin | Orthopaedic Surgery | 1801 S Highland Ave, Lombard, IL 60148-4932 | 2014-03-25 |
| 1659702595 | Hubert Lin | Nurse Practitioner | 1801 S Highland Ave, Suite L20, Lombard, IL 60148 | 2013-12-03 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285197608 | John Comersouski Pt PC | Clinic/Center | 438 Eisenhower Ln N, Lombard, IL 60148-5404 | 2019-04-11 |
| 1053611582 | Therapy Solutions Inc. | Clinic/Center | 1806 S Highland Ave Ste 250, Lombard, IL 60148-4933 | 2010-11-01 |
| 1023310711 | Rebound Fitness Inc | Clinic/Center | 246 E. Janata Blvd, Suite 135, Lombard, IL 60148 | 2010-12-01 |
| 1730497280 | National Rehabilitation | Clinic/Center | 1806 S Highland Ave, Lombard, IL 60148-4933 | 2010-09-17 |
| 1588855506 | Home Therapy Services P.C. | Clinic/Center | 478 E Central Ave, Lombard, IL 60148-4008 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.