CENTRAL DUPAGE PHYSICIAN GROUP
NPI 1033149844
Family Medicine in Carol Stream, IL

Active since July 04, 2006CLIA 14D0416944 · Waiver
5777 DEPARTMENT, CAROL STREAM, IL 60122(630) 933-3300(630) 933-2740 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2025, Mar 2, 2021, Aug 17, 2018 and 1 more (4 updates tracked since 2016).

About Central Dupage Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL DUPAGE PHYSICIAN GROUP (NPI 1033149844), doing business as Northwestern Medicine Regional Medical Group, is a healthcare organization registered as a family medicine in Carol Stream, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2027, maintains a secondary practice location in Wheaton, and lists Patrick Towne, Preident, as its authorized official.

NPPES Registry Identity

NPI1033149844
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL DUPAGE PHYSICIAN GROUP
Location Address5777 DEPARTMENTCarol Stream, IL 60122-5777
Mailing Address5777 DepartmentCarol Stream, IL 60122-5777 · (630) 933-3300 · Fax (630) 933-2740
Fax(630) 933-2740
Organization SubpartNo
Authorized OfficialPatrick TownePreident · (630) 933-1600
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 3, 20254 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1033149844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPreventive Medicine · Sports MedicineTaxonomy 2083S0010X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedHospitalistTaxonomy 208M00000X
5777 DEPARTMENT, Carol Stream, IL 60122

Other Names 1

Doing Business AsNorthwestern Medicine Regional Medical Group

Secondary Practice Location 1

Location 126W171 Roosevelt RdWheaton, IL 60187-6002 · Phone (630) 909-7000

Other Identifiers 2

Other080116892IL · Medicare Railroad Mwb
Other0222075ID · Blue Cross Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
14D0416944
Facility Type
Physician Office
Certificate Effective Date
June 02, 2025
Certificate Expiration Date
June 01, 2027
Laboratory Director
ROY J. BETTI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Dupage Physician Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033149844, enumerated as an "organization" on July 04, 2006.

The provider is located at 5777 DEPARTMENT CAROL STREAM, IL 60122 and the phone number is (630) 933-3300.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.