DUPAGE MEDICAL GROUP, LTD. (NPI# 1013152537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013152537 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP, LTD. |
| Practice Address |
24600 W 127th St 225 Plainfield IL 60585-9507 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6304699200 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MICHAEL PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUPAGE MEDICAL GROUP, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 042000124 | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 042000124 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP NUMBER | 785110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134584816 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 7000 Caton Farm Rd, Suite C, Plainfield, IL 60586-8107 | 2015-12-22 |
| 1497310023 | Dupage Medical Group, Ltd. | Durable Medical Equipment & Medical Supplies | 9618 Southwest Hwy, Oak Lawn, IL 60453-2862 | 2019-05-09 |
| 1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
| 1295194686 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 40 S Clay St, Hinsdale, IL 60521-3257 | 2016-02-15 |
| 1578920484 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 675 W North Ave, Melrose Park, IL 60160-1634 | 2016-01-22 |
| 1942667852 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 801 N Cass Ave, Westmont, IL 60559-1162 | 2016-01-22 |
| 1538526447 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 199 Town Sq, Wheaton, IL 60189-3801 | 2016-01-22 |
| 1063878965 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2016-01-07 |
| 1154787059 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1240 Essington Rd, Joliet, IL 60435-8408 | 2016-01-07 |
| 1790140531 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 330 Madison St, Suite 103, Joliet, IL 60435-6565 | 2015-12-21 |
| Street Address |
24600 W 127TH ST 225 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823780 | Steven Matthew Kovar | Pediatrics | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9502 | 2005-06-28 |
| 1760031660 | Jasmine Diaz | Social Worker | 24600 W 127th St, Plainfield, IL 60585-9507 | 2019-09-04 |
| 1508216086 | Alison Taylor Dulli | Counselor | 24600 W 127th St, Plainfield, IL 60585-9507 | 2016-06-15 |
| 1780088948 | Kathleen Anne Zielinski | Nurse Practitioner | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9507 | 2014-10-17 |
| 1033510466 | Carol Wills | Registered Nurse | 24600 W 127th St, Bldg B, Ste 240, Plainfield, IL 60585-9507 | 2014-09-04 |
| 1043632136 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste B205, Plainfield, IL 60585-9507 | 2014-01-09 |
| 1841630589 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste 125, Plainfield, IL 60585-9507 | 2013-06-26 |
| 1336588532 | Edward Health Services Corporation | Non-Pharmacy Dispensing Site | 24600 W 127th St, Plainfield, IL 60585-9507 | 2013-06-20 |
| 1851636047 | Edward Health Ventures | Family Medicine | 24600 W 127th St, Ste 340, Bldg B, Plainfield, IL 60585-9507 | 2012-11-29 |
| 1780948588 | Navrow L.L.C. | Specialist | 24600 W 127th St, Building B Suite 335, Plainfield, IL 60585-9507 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541671 | Athletic & Therapeutic Institute of Bourbonnais LLC | Durable Medical Equipment & Medical Supplies | 23915 W Main St Ste C, Plainfield, IL 60544-2306 | 2018-06-12 |
| 1942629639 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 400 Dan Jones Rd., Plainfield, IN 46168-1791 | 2014-04-10 |
| 1053681858 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 13521 S Route 59, Plainfield, IL 60544-3800 | 2012-01-10 |
| 1659601169 | Compcare Resources | Durable Medical Equipment & Medical Supplies | 12937 Cathy Ln, Plainfield, IL 60585-8163 | 2010-01-05 |
| 1447418504 | Truly Unique Hair | Durable Medical Equipment & Medical Supplies | 839 Osborne Ave, Plainfield, NJ 07062-2045 | 2008-05-27 |
| 1508043902 | Acme Hme Company | Durable Medical Equipment & Medical Supplies | 24140 W Lockport St, Unit 100, Plainfield, IL 60544-2901 | 2008-01-28 |
| 1629265277 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 7851 Caton Farm Rd, Plainfield, IL 60586-1601 | 2007-09-27 |
| 1821208315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14902 S Route 59, Plainfield, IL 60544-2728 | 2007-05-23 |
| 1093870156 | Thomas E Williams Co Inc | Durable Medical Equipment & Medical Supplies | 627 Park Ave, Plainfield, NJ 07060 | 2006-12-27 |
| 1699879502 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10 Lathrop Rd, Plainfield, CT 06374-2030 | 2006-09-12 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.