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Dupage Medical Group Ltd
Prosthetic/Orthotic Supplier in Downers Grove, Illinois
NPI 1801833983

Dupage Medical Group Ltd is a Prosthetic/Orthotic Supplier based in Chicago, IL. Dupage Medical Group Ltd practices in Downers Grove, IL. The NPI Number for Dupage Medical Group Ltd is 1801833983 and holds a License No. 042000124 (Illinois).

The current practice location address for Dupage Medical Group Ltd is 1100 W 31St St, Downers Grove, IL and can be reached out via phone at 630-469-9200. You can also correspond with Dupage Medical Group Ltd through the mailing address at PO BOX 713260, CHICAGO, IL - 60677-1260 (mailing address contact number: 630-469-9200).

Location: 1100 W 31St St, Downers Grove, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801833983
Provider Name
Dupage Medical Group Ltd
Credential
Provider Entity Type
Organization
Address
1100 W 31St St, Downers Grove, IL, 60677-1260
Phone Number
630-469-9200
Fax Number
Provider Enumeration Date
05/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
568660 01 IL MEDICARE GROUP NUMBER
785110 01 IL PTAN
200502 01 IL MEDICARE GROUP NUMBER
584330 01 IL MEDICARE GROUP NUMBER
205994 01 IL MEDICARE GROUP NUMBER
569810 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1100 W 31St St
City
Downers Grove
State
Illinois
Zip
60515-5509
Phone Number
630-469-9200
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 713260
City
Chicago
State
Illinois
Zip
60677-1260
Phone Number
630-469-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
042000124 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054018228 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
054018228 (Illinois)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054018228 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
042000124 (Illinois)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
042000124 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
042000124 (Illinois)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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