| Dupage Medical Group | |
|
1100 W 31st St Ste 300 Downers Grove IL 60515-5509 | |
| (630) 469-9200 | |
| Not Available |
| Full Name | Dupage Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 W 31st St, Downers Grove, Illinois |
| Authorized Official Name and Position | Paul Merrick (PRESIDENT, BOARD OF DIRECTORS) |
| Authorized Official Contact | 6307901221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dupage Medical Group Po Box 713260 Chicago IL 60677-1260 Ph: (630) 469-9200 | Dupage Medical Group 1100 W 31st St Ste 300 Downers Grove IL 60515-5509 Ph: (630) 469-9200 |
| NPI Number | 1801833983 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 5496667941 |
|---|---|
| Medicare Enrollment ID | O20031105000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801833983 | NPI | - | NPPES |
| 568660 | Other | IL | MEDICARE GROUP NUMBER |
| 785110 | Other | IL | PTAN |
| 200502 | Other | IL | MEDICARE GROUP NUMBER |
| 584330 | Other | IL | MEDICARE GROUP NUMBER |
| 205994 | Other | IL | MEDICARE GROUP NUMBER |
| 569810 | Other | IL | MEDICARE GROUP NUMBER |
| Provider Name | Jodi M Limacher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366563041 PECOS PAC ID: 9234033267 Enrollment ID: I20031121000397 |
| Provider Name | Mary Beth Sanchez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649295841 PECOS PAC ID: 6507767878 Enrollment ID: I20040119000724 |
| Provider Name | Becky A Majernik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538187372 PECOS PAC ID: 2264408855 Enrollment ID: I20040903001209 |
| Provider Name | Lara M Hamilton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508823220 PECOS PAC ID: 2264483338 Enrollment ID: I20050207000098 |
| Provider Name | Neha S Patel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538354931 PECOS PAC ID: 6800977414 Enrollment ID: I20080121000084 |
| Provider Name | Mary Rose I Buescher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326189515 PECOS PAC ID: 3971582131 Enrollment ID: I20120522000751 |
| Provider Name | Katherine Elizabeth Driessens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700165206 PECOS PAC ID: 7618264300 Enrollment ID: I20160923000532 |
| Provider Name | Rebecca Benevides Downey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932639473 PECOS PAC ID: 3274874292 Enrollment ID: I20190401000647 |
| Provider Name | Jason Caraballo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568893535 PECOS PAC ID: 8022426725 Enrollment ID: I20210419001042 |
| Provider Name | Amy N Stevens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245819010 PECOS PAC ID: 0244648483 Enrollment ID: I20210428000415 |
| Provider Name | Brittany Norem |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821666413 PECOS PAC ID: 8224439740 Enrollment ID: I20210622001401 |
| Provider Name | Mary Houser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275200834 PECOS PAC ID: 1052717287 Enrollment ID: I20210913003220 |
| Provider Name | Amanda R Severson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952024952 PECOS PAC ID: 2062883408 Enrollment ID: I20230124000337 |
| Provider Name | Kristen Mshar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497153829 PECOS PAC ID: 1951759752 Enrollment ID: I20231204002042 |
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