CENTRAL DUPAGE PHYSICIAN GROUP (NPI# 1780012344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780012344 |
Entity Type | Organization |
Organization Name | CENTRAL DUPAGE PHYSICIAN GROUP |
Other Organization Name | NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP |
Practice Address |
351 Delnor Dr Geneva IL 60134-4222 |
Mailing Address |
5777 Department Carol Stream IL 60122-5777 |
Practice Telephone | 6302252663 |
Practice Fax Number | 6302252399 |
Mailing Telephone | 6309333300 |
Mailing Fax Number | 6309332740 |
Enumeration Date | 2013-10-17 |
Last Update Date | 2018-06-20 |
Authorized Official Name | PATRICK TOWNE (PRESIDENT) |
Authorized Official Telephone | 6309331600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Northwestern Medicine Regional Medical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972847317 | Central Dupage Physician Group | Orthopaedic Surgery | 515 Thornhill Dr, Carol Stream, IL 60188-2703 | 2012-11-26 |
1033149844 | Central Dupage Physician Group | Family Medicine | 5777 Department, Carol Stream, IL 60122-5777 | 2006-07-04 |
1477897833 | Central Dupage Physician Group | Orthopaedic Surgery | 885 Roosevelt Rd, Suite 300, Glen Ellyn, IL 60137-6141 | 2012-11-23 |
1841534203 | Central Dupage Physician Group | Orthopaedic Surgery | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2012-11-23 |
1750625117 | Central Dupage Physician Group | Orthopaedic Surgery | 7 Blanchard Cir, Suite 101, Wheaton, IL 60189-2037 | 2012-11-23 |
1194069559 | Central Dupage Physician Group | Orthopaedic Surgery | 101 E 75th St, Suite 100, Naperville, IL 60565-1469 | 2012-11-23 |
1831433291 | Central Dupage Physician Group | Orthopaedic Surgery | 820 S Il Route 59, Suite 320, Bartlett, IL 60103-1694 | 2012-11-23 |
Street Address |
351 DELNOR DR |
City | GENEVA |
State | IL |
Zip Code | 60134-4222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619972643 | Paul R Batty | Surgery | 351 Delnor Dr, Ste 406, Geneva, IL 60134-4222 | 2005-06-16 |
1376931550 | Elise Noelle Lynch | Nurse Practitioner | 351 Delnor Dr, Suite 100, Geneva, IL 60134-4222 | 2014-12-22 |
1437586583 | Holley R Harris | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2013-10-03 |
1770924847 | Cornerstone Medical Group PC | Family Medicine | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-07-17 |
1437492451 | Wei He | Psychiatry & Neurology | 351 Delnor Dr, Geneva, IL 60134 | 2013-03-27 |
1508126897 | Yoomi Kenyon Brendel | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2012-05-21 |
1588942775 | Magdeline S Riemenschneider | Physician Assistant | 351 Delnor Dr, Suite 406, Geneva, IL 60134-4222 | 2011-07-22 |
1871808998 | Mona S Seaver | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-08-12 |
1609187590 | Jaclyn Beth Wierzbicki | Surgery | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-06-25 |
1891016499 | Ashley T Muhr | Family Medicine | 351 Delnor Dr, Geneva, IL 60134-4222 | 2010-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
Find all providers in zip 60134 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801073523 | University Primary Care Practices Inc | Orthopaedic Surgery | 890 W Main St # 202, Geneva, OH 44041 | 2008-01-24 |
1235200833 | James Patrick Sostak II | Orthopaedic Surgery | 2525 Kaneville Road, Fox Valley Orthopedics, Geneva, IL 60134 | 2006-11-13 |
1568561462 | Charles E Jordan | Orthopaedic Surgery | 751 Pre Emption Rd, Suite 1, Geneva, NY 14456 | 2006-09-21 |
1659373751 | Jeffrey A Jacoby | Orthopaedic Surgery | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2005-08-10 |
1215185442 | Chibuikem Philip Akamnonu | Orthopaedic Surgery | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2008-08-29 |
1053586479 | Christopher Alan Brown | Orthopaedic Surgery | 875 Pre Emption Rd, Geneva, NY 14456 | 2008-04-26 |
1023211679 | Merle John Denker | Orthopaedic Surgery | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2007-06-08 |
1528108966 | Orthopedic & Spine Surgery Assoc | Orthopaedic Surgery | 308 Randall Rd, Suite A, Geneva, IL 60134-4201 | 2007-02-07 |
1295811065 | Van Orthopaedic & Spine Surgery Sc | Orthopaedic Surgery | 351 Delnor Dr, Suite 406, Geneva, IL 60134-4220 | 2006-10-27 |
1508889411 | Vishal M Mehta | Orthopaedic Surgery | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2006-07-25 |
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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.