| Dupage Medical Group, Ltd | |
|
17495 La Grange Rd Tinley Park IL 60487-7581 | |
| (708) 226-7000 | |
| Not Available |
| Full Name | Dupage Medical Group, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 17495 La Grange Rd, Tinley Park, Illinois |
| Authorized Official Name and Position | Paul Merrick (CHAIRMAN OF THE BOARD) |
| 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, Ltd 17495 La Grange Rd Tinley Park IL 60487-7581 Ph: (708) 226-7000 | Dupage Medical Group, Ltd 17495 La Grange Rd Tinley Park IL 60487-7581 Ph: (708) 226-7000 |
| NPI Number | 1780868562 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 5496667941 |
|---|---|
| Medicare Enrollment ID | O20160804000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780868562 | NPI | - | NPPES |
| CD5640 | Other | IL | RAILROAD MEDICARE |
| 01621031 | Other | IL | BCBS PROVIDER ID |
| IL3596 | Other | IL | LOCALITY 15 MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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