CENTRAL DUPAGE PHYSICIAN GROUP (NPI# 1972847317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972847317 |
| Entity Type | Organization |
| Organization Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Other Organization Name | NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP |
| Practice Address |
515 Thornhill Dr Carol Stream IL 60188-2703 |
| Mailing Address |
5777 Department Carol Stream IL 60122-5777 |
| Practice Telephone | 6302252663 |
| Mailing Telephone | 6309333300 |
| Mailing Fax Number | 6309332740 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DEBI TAPANES (DIRCTOR 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 |
|---|---|---|---|---|
| 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 |
| 1831433291 | Central Dupage Physician Group | Orthopaedic Surgery | 820 S Il Route 59, Suite 320, Bartlett, IL 60103-1694 | 2012-11-23 |
| Street Address |
515 THORNHILL DR |
| City | CAROL STREAM |
| State | IL |
| Zip Code | 60188-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496296 | Vita Pharmacy Inc | Pharmacy | 279-281 W Elk Trail Rd, Carol Stream, IL 60188 | 2019-06-20 |
| 1992287346 | Anjana Matiwala | Pharmacist | 1600 Mcconnor Parkway, Schaumburg, IL 60188 | 2018-09-02 |
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1881103638 | Lineta Kundrotiene | Pharmacist | 615 Appaloosa Ct, Carol Stream, IL 60188 | 2017-09-25 |
| 1225409345 | Dr David Cavazos Dc LLC | Chiropractor | 66 E North Ave, Carol Stream, IL 60188 | 2015-10-15 |
| 1548657901 | Mark Babinski | Chiropractor | 1189 N Gary Ave, Carol Stream, IL 60188 | 2015-04-22 |
| 1609267095 | Jocelyn Tolentino | Obstetrics & Gynecology | 630 North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-02-06 |
| 1265798532 | William Vogds | Chiropractor | 25 W 330 Geneva Rd, Carol Stream, IL 60188 | 2012-04-11 |
| 1740557073 | Mary Jene Howe | Pharmacist | 540 Schmale, Carol Stream, IL 60188 | 2011-12-01 |
| 1992087878 | Patricia J Zurek | Pharmacist | 540 Schmale Rd, Carol Stream, IL 60188 | 2011-09-15 |
| Find all providers in zip 60188 | ||||
| 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 |
|---|---|---|---|---|
| 1023019643 | Richard E. Erickson | Orthopaedic Surgery | 327 Gundersen Dr, Suite A, Carol Stream, IL 60188-2402 | 2005-08-04 |
| 1164423786 | Kellen K. Choi | Orthopaedic Surgery | 327 Gundersen Dr, Suite A, Carol Stream, IL 60188-2402 | 2005-08-04 |
| 1316948938 | Stephen A. Baker | Orthopaedic Surgery | 327 Gundersen Dr, Suite A, Carol Stream, IL 60188-2402 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | CAROL STREAM |
| Zip Code | 60188 |
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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.