Dupage Medical Group, Ltd | |
2320 High St Blue Island IL 60406-2426 | |
(708) 388-5500 | |
(708) 388-5672 |
Full Name | Dupage Medical Group, Ltd |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2320 High St, Blue Island, Illinois |
Authorized Official Name and Position | Paul Merrick (CHAIRMAN OF THE BOARD) |
Authorized Official Contact | 6307901221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dupage Medical Group, Ltd 2320 High St Administration Blue Island IL 60406-2426 Ph: (708) 388-5500 | Dupage Medical Group, Ltd 2320 High St Blue Island IL 60406-2426 Ph: (708) 388-5500 |
NPI Number | 1700839230 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700839230 | NPI | - | NPPES |
CD5640 | Other | IL | RAILROAD MEDICARE |
01621031 | Other | IL | BCBS PROVIDER ID |
IL3596 | Other | IL | LOCALITY15 MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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