DUPAGE MEDICAL GROUP, LTD. (NPI# 1194180919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180919 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP, LTD. |
| Other Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
1870 Silver Cross Blvd Suite 240 New Lenox IL 60451-8639 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 8157252121 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MIKE PACETTI (CFO) |
| Authorized Official Telephone | 6304699200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | IL | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| DuPage Medical Group | Doing Business As Name - Organization |
| 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 |
1870 SILVER CROSS BLVD SUITE 240 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-8639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557445 | Timothy A Kisla | Ophthalmology | 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 | 2005-06-08 |
| 1992320394 | Joshua Knitter | Physical Therapist | 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 | 2020-06-11 |
| 1235533837 | Julie Rene Paul | Nurse Practitioner | 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 | 2014-10-10 |
| 1467860833 | Meridian App Medical Services, LLC | Clinic/Center | 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 | 2014-07-29 |
| 1265774806 | Jessica E. Rodriguez | Physician Assistant | 1870 Silver Cross Blvd, Suite 200, New Lenox, IL 60451-8639 | 2013-03-21 |
| 1104122829 | Sherry Ann Burnam | Advanced Practice Midwife | 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 | 2011-01-27 |
| 1568766103 | Hinsdale Orthopaedic Associates, Sc | Specialist | 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 | 2010-12-22 |
| 1619205077 | Eligijus P Lelis Md & Associates, Sc | Durable Medical Equipment & Medical Supplies | 1870 Silver Cross Blvd, Ste 220, New Lenox, IL 60451-8646 | 2009-11-24 |
| 1871828780 | Maria Francis | Internal Medicine | 1870 Silver Cross Blvd, Suite 120, New Lenox, IL 60451-8639 | 2009-10-09 |
| 1831154947 | Advanced Eyecare Sc | Ophthalmology | 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1891071502 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1890 Silver Cross Blvd Ste 120, New Lenox, IL 60451-9528 | 2011-10-26 |
| 1124335187 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 501 E Lincoln Hwy, New Lenox, IL 60451-1909 | 2010-09-10 |
| 1154656916 | Crossroads Medical Supply,inc. | Durable Medical Equipment & Medical Supplies | 205 W Joliet Hwy, 205 W. Joliet Hwy., New Lenox, IL 60451-2111 | 2009-10-13 |
| 1770712531 | Advanced Eye Care Sc | Durable Medical Equipment & Medical Supplies | 1870 Silver Cross Boulevard, Suite110, New Lenox, IL 60451 | 2009-07-14 |
| 1649410366 | Acura Medical Equipment & Supplies Inc | Durable Medical Equipment & Medical Supplies | 14423 Edison Dr, Ste B, New Lenox, IL 60451-4012 | 2009-02-21 |
| 1831389204 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2021 E Laraway Rd, New Lenox, IL 60451 | 2007-07-31 |
| 1235212556 | Professional Medical & Surgical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1917 Garnet Ct, New Lenox, IL 60451-1593 | 2006-10-23 |
| 1821192766 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2050 Nelson Rd, New Lenox, IL 60451-8537 | 2006-09-12 |
| 1083629273 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 450 S Schoolhouse Rd, New Lenox, IL 60451-2080 | 2006-07-29 |
| Find all providers in NEW LENOX | ||||
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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.