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Dupage Medical Group, Ltd.
Eyewear Supplier in Glen Ellyn, Illinois
NPI 1528206984

Dupage Medical Group, Ltd. is a Eyewear Supplier based in Chicago, IL. Dupage Medical Group, Ltd. practices in Glen Ellyn, IL. The NPI Number for Dupage Medical Group, Ltd. is 1528206984 and holds a License No. 042-000124 (Illinois).

The current practice location address for Dupage Medical Group, Ltd. is 430 Pennsylvania Ave, Glen Ellyn, IL and can be reached out via phone at 630-322-8300.

Location: 430 Pennsylvania Ave, Glen Ellyn, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528206984
Provider Name
Dupage Medical Group, Ltd.
Credential
Provider Entity Type
Organization
Address
430 Pennsylvania Ave, Glen Ellyn, IL, 60677-1260
Phone Number
630-322-8300
Fax Number
Provider Enumeration Date
01/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
785110 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
430 Pennsylvania Ave
City
Glen Ellyn
State
Illinois
Zip
60137-4464
Phone Number
630-322-8300
Fax Number
person
Provider Business Mailing Address Details
Address
430 Pennsylvania Ave
City
Glen Ellyn
State
Illinois
Zip
60137-4464
Phone Number
630-322-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
042-000124 (Illinois)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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