CENTRAL DUPAGE PHYSICIAN GROUP (NPI# 1831433291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831433291 |
| Entity Type | Organization |
| Organization Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Other Organization Name | NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP |
| Practice Address |
820 S Il Route 59 Suite 320 Bartlett IL 60103-1694 |
| Mailing Address |
5777 Department Carol Stream IL 60122-5777 |
| Practice Telephone | 6302252663 |
| Mailing Telephone | 6309333300 |
| Mailing Fax Number | 6309332740 |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DEBI TAPANES (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 6309331616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwestern Medicine Regional Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972847317 | Central Dupage Physician Group | Orthopaedic Surgery | 515 Thornhill Dr, Carol Stream, IL 60188-2703 | 2012-11-26 |
| 1033149844 | Central Dupage Physician Group | Family Medicine | 5777 Department, Carol Stream, IL 60122-5777 | 2006-07-04 |
| 1780012344 | Central Dupage Physician Group | Orthopaedic Surgery | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-10-17 |
| 1477897833 | Central Dupage Physician Group | Orthopaedic Surgery | 885 Roosevelt Rd, Suite 300, Glen Ellyn, IL 60137-6141 | 2012-11-23 |
| 1841534203 | Central Dupage Physician Group | Orthopaedic Surgery | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2012-11-23 |
| 1750625117 | Central Dupage Physician Group | Orthopaedic Surgery | 7 Blanchard Cir, Suite 101, Wheaton, IL 60189-2037 | 2012-11-23 |
| 1194069559 | Central Dupage Physician Group | Orthopaedic Surgery | 101 E 75th St, Suite 100, Naperville, IL 60565-1469 | 2012-11-23 |
| Street Address |
820 S IL ROUTE 59 SUITE 320 |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743163 | Jennifer S Fredericks | Family Medicine | 820 S Il Route 59, Bartlett, IL 60103-1694 | 2006-06-29 |
| 1932414943 | Mary Jo Zampa | Nurse Practitioner | 820 S Il Route 59, Bartlett, IL 60103-1694 | 2010-08-13 |
| 1265462089 | Rolf R Stavig | Family Medicine | 820 S Il Route 59, Suite A, Bartlett, IL 60103-1694 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669593935 | Advanced Orthopaedic and Neurologic Associates | Orthopaedic Surgery | 1691 S Rte 59, Bartlett, IL 60103 | 2007-04-03 |
| 1225023260 | Arsen H Manugian | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-09-15 |
| 1760698534 | Ankur M Chhadia | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2007-05-16 |
| 1629295209 | Christopher Mark Pokabla | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2007-04-18 |
| 1215067996 | Christopher Allen Ferguson | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2007-03-06 |
| 1467508846 | Howard I Freedberg | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2007-01-26 |
| 1306857727 | Thomas A Mcnally | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2006-08-10 |
| 1629068200 | Jean Simard | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-10-25 |
| 1871589283 | Stephen M Waggoner | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-09-21 |
| 1851387351 | Mark S Harriman | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2005-09-21 |
| Find all providers in BARTLETT | ||||
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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.