DUPAGE MEDICAL GROUP, LTD
NPI 1689115388
Durable Medical Equipment & Medical Supplies in Naperville, IL

NPI Status: Active since March 14, 2017

Contact Information

1163 E OGDEN AVE
SUITE 719
NAPERVILLE, IL
ZIP 60563
Phone: (630) 967-2000

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 14D2047692
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-02-2025

About DUPAGE MEDICAL GROUP, LTD

This page provides the complete NPI Profile along with additional information for Dupage Medical Group, Ltd, a provider established in Naperville, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689115388 assigned on March 2017. The practitioner's primary taxonomy code is 332B00000X with license number 042000124 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Paul Merrick Md (Chairman Of The Board)

NPI
1689115388
Provider Name
DUPAGE MEDICAL GROUP, LTD
Entity Type
Organization
Location Address
1163 E OGDEN AVE SUITE 719 NAPERVILLE, IL 60563
Location Phone
(630) 967-2000
Mailing Address
PO BOX 713260 CHICAGO, IL 60677
Mailing Phone
(630) 469-9200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2017
Last Update Date
10-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
042000124
License State
IL
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL MERRICK MD

Authorized Official Title
CHAIRMAN OF THE BOARD
Authorized Official Phone
(630) 790-1221

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2047692
Facility Type
Physician Office
Certificate Effective Date
July 03, 2023
Certificate Expiration Date
July 02, 2025
Laboratory Director
DR. EUGEN MINCA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Dupage Medical Group, Ltd on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for DUPAGE MEDICAL GROUP, LTD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689115388
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261692110316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 2 + 1 + 1 + 0 + 3 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1689115388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508037698HOUSE OS SMILES, PC
Organization
Dentist (General Practice)1163 E OGDEN AVE SUITE 403
NAPERVILLE, IL 60563
(630) 416-0780
1538455183NAPERVILLE PAIN & REHABILITATION CLINIC, S.C.
Organization
Physical Medicine & Rehabilitation1163 E OGDEN AVE SUITE 505
NAPERVILLE, IL 60563
(773) 816-0141
1922586668 SAMANTHA SUMMERS PT, DPT
Individual
Physical Therapist1163 E OGDEN AVE
NAPERVILLE, IL 60563
(630) 967-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689115388, enumerated in the NPI registry as an "organization" on March 14, 2017

The provider is located at 1163 E Ogden Ave Suite 719 Naperville, Il 60563 and the phone number is (630) 967-2000

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 14D2047692 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 14, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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