Dupage Medical Group, Ltd.

NPI #1528206984 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1528206984
Entity Type: Organization
Organization Name: Dupage Medical Group, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: DUPAGE MEDICAL GROUP, LTD.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 23, 2009
Last Updated: Oct 13, 2023

Practice Location

Address: 430 PENNSYLVANIA AVE
Address 2: 170
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-4464
Phone: (630) 322-8300

Authorized Official

Name: PAUL MERRICK, MD
Title: CHAIRMAN OF THE BOARD
Phone: (630) 790-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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