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Dupage Medical Group, Ltd.
Prosthetic/Orthotic Supplier in Glen Ellyn, Illinois
NPI 1841435369

Dupage Medical Group, Ltd. is a Prosthetic/Orthotic Supplier based in Chicago, IL. Dupage Medical Group, Ltd. practices in Glen Ellyn, IL. The NPI Number for Dupage Medical Group, Ltd. is 1841435369 and holds a License No. 042000124 (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 630-790-1872.

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
1841435369
Provider Name
Dupage Medical Group, Ltd.
Credential
Provider Entity Type
Organization
Address
430 Pennsylvania Ave, Glen Ellyn, IL, 60677-1260
Phone Number
630-790-1872
Fax Number
Provider Enumeration Date
12/12/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205994 01 IL MEDICARE GROUP PTAN
785110 01 IL MEDICARE GROUP NUMBER
568660 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
630-790-1872
Fax Number
person
Provider Business Mailing Address Details
Address
430 Pennsylvania Ave
City
Glen Ellyn
State
Illinois
Zip
60137-4464
Phone Number
630-790-1872
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
042000124 (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 2
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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