Central Dupage Physical Medicine is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Carol Stream, Illinois. Their current practice location is
798 W Army Trail Rd, Carol Stream, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 233-8343.
Central Dupage Physical Medicine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Central Dupage Physical Medicine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1528117090.
Healthcare Provider's Profile
| Full Name | Central Dupage Physical Medicine |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 798 W Army Trail Rd, Carol Stream, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528117090
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 02/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678752169
- Enrollment ID: O20110131000380
Medical Identifiers
Medical identifiers for Central Dupage Physical Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528117090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038009776 (Illinois) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Central Dupage Physical Medicine acts as a billing entity for following providers:
| Provider Name | Allan E Kirchner Gomez |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1346303146
PECOS PAC ID: 4880596782
Enrollment ID: I20040122000146 |
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| Provider Name | Vuong M Van |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1174896286
PECOS PAC ID: 6204081714
Enrollment ID: I20130308000197 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Central Dupage Physical Medicine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Central Dupage Physical Medicine
798 W Army Trail Rd,
Carol Stream, IL 60188-9297
Ph: (630) 233-8343 | Central Dupage Physical Medicine
798 W Army Trail Rd,
Carol Stream, IL 60188-9297
Ph: (630) 233-8343 |
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