DU PAGE MEDICAL GROUP LTD (NPI# 1487087532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487087532 |
| Entity Type | Organization |
| Organization Name | DU PAGE MEDICAL GROUP LTD |
| Other Organization Name | M & M ORTHOPAEDICS A MEMBER OF DU PAGE MEDICAL GROUP |
| Practice Address |
4115 Fairview Ave Downers Grove IL 60515-2268 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309681881 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | MICHAEL 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 | 042000124 | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 042000124 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| M & M Orthopaedics a member of Du Page Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1366063448 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 815 Pasquinelli Dr Ste 102, Westmont, IL 60559-1276 | 2020-04-30 |
| 1700411030 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4003 S Route 59 Ste 100, Naperville, IL 60564-5802 | 2020-03-06 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1982191821 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 536 S York St Ste 4220, Elmhurst, IL 60126-3952 | 2018-04-17 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1588180285 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 13462 S Archer Ave, Lemont, IL 60439-4755 | 2017-08-15 |
| 1801833983 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1100 W 31st St, Ste 300, Downers Grove, IL 60515-5509 | 2006-05-31 |
| 1265067599 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 640 S Washington St Ste 268, Naperville, IL 60540-6694 | 2020-03-06 |
| 1093345514 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 E 9th St, Lockport, IL 60441-2404 | 2020-01-23 |
| Street Address |
4115 FAIRVIEW AVE |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126962 | Jennifer Johnson | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| 1306476189 | Erin Gibson | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2020-01-22 |
| 1760038673 | Joseph Kennedy | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2019-08-15 |
| 1073010245 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2018-04-12 |
| 1952828162 | Magdalena A Czerniak | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-28 |
| 1457877508 | Danielle Marie Brandonisio | Nurse Practitioner | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-21 |
| 1235674128 | Jessica Genslinger | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-12-30 |
| 1578910899 | Alexandria L Cismesia | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-05-17 |
| 1497121115 | Nicole Melfi | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2015-08-17 |
| 1720485238 | Shobita Chander | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2014-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| 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 |
|---|---|---|---|---|
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1851778146 | Home Mobility Solutions, Inc | Durable Medical Equipment & Medical Supplies | 5239 Thatcher Rd, Downers Grove, IL 60515-4027 | 2015-05-06 |
| 1437385549 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6210 Main St, Downers Grove, IL 60516-1908 | 2009-06-03 |
| 1124292149 | Andsar Inc. | Durable Medical Equipment & Medical Supplies | 5023 Fairview Ave, Downers Grove, IL 60515-3986 | 2008-04-22 |
| 1285851212 | Transworld Medical Equipment,inc | Durable Medical Equipment & Medical Supplies | 1315 Butterfield Rd Suite 222, Downers Grove, IL 60515 | 2007-04-19 |
| 1790790970 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 Ogden Ave, Downers Grove, IL 60515-2803 | 2006-07-29 |
| 1780699926 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6240 Belmont Rd, Downers Grove, IL 60516-1638 | 2006-07-29 |
| 1235176785 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1148 Ogden Ave, Downers Grove, IL 60515 | 2006-06-01 |
| 1801833983 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1100 W 31st St, Ste 300, Downers Grove, IL 60515-5509 | 2006-05-31 |
| 1962458497 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 6215 Main St, Downers Grove, IL 60516 | 2006-05-26 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on DU PAGE MEDICAL GROUP LTD.
| 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.