Organization Name: | DUPAGE MEDICAL GROUP, LTD. |
NPI Number: | 1851536379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL PACETTI (CFO) |
Mailing Address: | 636 Raymond Dr 300 Naperville |
State: | IL US |
Postal Code: | 605639789 |
Phone Number: | 6305106929 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 042000124 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |