| Organization Name: | FAMILY DOCTOR'S OF DUPAGE, S.C. |
| NPI Number: | 1003010554 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM L. EPPERLY (PRESIDENT) |
| Mailing Address: | 245 S Gary Ave Suite 105 Bloomingdale |
| State: | IL US |
| Postal Code: | 601082228 |
| Phone Number: | 6308939661 |
| Fax Number: | 6308935665 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |