DUPAGE MEDICAL GROUP (NPI# 1588016851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588016851 |
| Entity Type | Organization |
| Organization Name | DUPAGE MEDICAL GROUP |
| Practice Address |
17495 La Grange Rd Tinley Park IL 60487-7581 |
| Mailing Address |
1100 31st St Suite 300 Downers Grove IL 60515-5509 |
| Practice Telephone | 7082267000 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | DENNIS FINE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6305453617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
036087412 | IL | Ambulatory Health Care Facilities |
| Street Address |
17495 LA GRANGE RD |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-7581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750101 | Saoud Loutfi | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2005-09-20 |
| 1649885880 | Lizandro Sanchez | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2020-09-14 |
| 1336785088 | Katie Lynn Morton | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-11-18 |
| 1598309940 | Jessica Lynne Fiehler | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-10-29 |
| 1396229043 | Sarah Traverso | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-09-19 |
| 1043712730 | Jennifer Lynn Meter | Social Worker | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-03-08 |
| 1346768199 | Flor Delgado | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-08-31 |
| 1427594225 | Valerie Paluszak | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-01-17 |
| 1770027872 | Maria Cesario | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-12-07 |
| 1386186971 | Nicole Jenette Golak | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407381197 | Northwestern Memorial Healthcare | Clinic/Center | 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975 | 2017-05-01 |
| 1609301753 | Robert H. Lurie Comprehensive Cancer Center of Northwestern University | Clinic/Center | 250 E Superior St, Suite 520, Chicago, IL 60611-2914 | 2017-04-26 |
| 1659721983 | Monica Anderson | Clinic/Center | 12004 S Route 59, Plainfield, IL 60585-5108 | 2016-06-17 |
| 1366815250 | Windy City Pediatrics | Clinic/Center | 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 | 2015-11-02 |
| 1396148011 | Rush University Medical Center | Clinic/Center | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2014-10-08 |
| 1396019923 | Advanced Cancer Research, Ltd | Clinic/Center | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2012-02-29 |
| 1205164084 | Northwest Suburban Oncology and Hematology Associates S.c | Clinic/Center | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2009-12-06 |
| 1538317458 | Andrea Karoff | Clinic/Center | 901 W Wellington Ave, Chicago, IL 60657-6708 | 2008-09-04 |
| 1023293776 | University Hematology Oncology Inc | Clinic/Center | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-12-31 |
| 1477740447 | University Hematology Oncology Group Inc | Clinic/Center | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2355 | 2007-10-03 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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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.