DUPAGE MEDICAL GROUP, LTD. (NPI# 1891174660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891174660 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP, LTD. |
| Other Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
150 E Willow Ave Suite 110 Wheaton IL 60187-5476 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309672000 |
| Practice Fax Number | 6306533581 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MR. MICHAEL PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUPAGE MEDICAL GROUP, LTD |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP PTAN | 785110 | 01 |
| IL | MEDICARE GROUP PTAN | 205994 | 01 |
| 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 |
| 1063878965 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2016-01-07 |
| 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 |
| Street Address |
150 E WILLOW AVE SUITE 110 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992806509 | Mark Christopher Gillis | Family Medicine | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2006-09-26 |
| 1154974194 | Tyler Munson | Physical Therapist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2019-07-18 |
| 1518497932 | Kimberly Alcock | Physical Therapist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2017-06-18 |
| 1043751753 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 150 E Willow Ave, Suite 110, Wheaton, IL 60187-5476 | 2017-03-14 |
| 1417301599 | Mary Mekheil | Pharmacist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2016-04-14 |
| 1023309838 | Eva R Chatman | Family Medicine | 150 E Willow Ave, Wheaton, IL 60187 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1134576804 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 S Naperville Rd, Wheaton, IL 60189-8153 | 2016-05-23 |
| 1467889832 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2191 W Roosevelt Rd, Wheaton, IL 60187-6017 | 2013-10-01 |
| 1629228036 | Caritas Health Services Inc | Durable Medical Equipment & Medical Supplies | 11510 Georgia Ave Ste 111, Wheaton, MD 20902-1958 | 2008-09-22 |
| 1295852234 | Arthritis and Rheumatism Associates, PC | Durable Medical Equipment & Medical Supplies | 2730 University Blvd W Ste 310, Wheaton, MD 20902-1990 | 2007-03-23 |
| 1548356850 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11190 Viers Mill Road, Wheaton, MD 20902 | 2006-10-05 |
| 1174623003 | Medical Products Group, LLC | Durable Medical Equipment & Medical Supplies | 214 E Geneva Rd, Wheaton, IL 60187-2408 | 2006-09-22 |
| 1083718936 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1400 E Roosevelt Rd, Wheaton, IL 60187-6804 | 2006-09-12 |
| 1073528220 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2020 S Naperville Rd, Wheaton, IL 60189-8171 | 2006-07-29 |
| 1821010612 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 601 S County Farm Rd, Wheaton, IL 60187-4529 | 2006-07-24 |
| 1356366140 | Denson Shops Inc | Durable Medical Equipment & Medical Supplies | 509 S Carlton Ave, Wheaton, IL 60189-0703 | 2006-07-13 |
| Find all providers in WHEATON | ||||
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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.