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DUPAGE MEDICAL GROUP
NPI 1063878965
Durable Medical Equipment & Medical Supplies in Joliet, IL

Active since January 07, 2016CLIA Certified · 2 labs
2100 GLENWOOD AVE, JOLIET, IL 60435(815) 725-2121 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2023, Jul 25, 2023, Mar 10, 2022 and 1 more (4 updates tracked since 2016).

About Dupage Medical Group NPPES

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

DUPAGE MEDICAL GROUP (NPI 1063878965) is a healthcare organization registered as a durable medical equipment & medical supplies in Joliet, Illinois and active in the NPI registry since January 2016. The organization holds 2 active CLIA laboratory certificates and lists Paul Merrick, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1063878965
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDUPAGE MEDICAL GROUP, LTD.
Location Address2100 GLENWOOD AVEJoliet, IL 60435-5487
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(815) 725-2121
Organization SubpartNo
Authorized OfficialPaul MerrickChairman Of The Board · (630) 790-1221
Enumeration DateJanuary 7, 2016
Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1063878965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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's use in the home and that are usable for an extended period of time.
2100 GLENWOOD AVE, Joliet, IL 60435
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Other Names 1

Doing Business AsDupage Medical Group

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dupage Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dupage Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katie Akers, APN
Nurse Practitioner
NPI 1467920009
2359 HASSELL RD
Hoffman Estates, IL 60169
(630) 717-2600
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2000288

Dupage Medical Group - Internal Medicine · Joliet, IL
Active · expires Nov 24, 2027
CLIA Number14D2000288
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorVairavan R. Viswanathan
Laboratory Phone(815) 725-2121
Laboratory LocationDupage Medical Group - Internal Medicine2100 Glenwood Avenue, Joliet, IL 60435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2009269

Dupage Medical Group - Family Practice · Joliet, IL
Active · expires Jun 28, 2028
CLIA Number14D2009269
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorStefan Nemeth
Laboratory Phone(815) 725-2121
Laboratory LocationDupage Medical Group - Family Practice330 N Madison Ave, Ste 103, Joliet, IL 60435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dupage Medical Group, Ltd.'s NPI number?

The NPI number for Dupage Medical Group, Ltd. is 1063878965. It was assigned to this organization in the NPPES registry on January 7, 2016. The provider is doing business as Dupage Medical Group.

Where is Dupage Medical Group, Ltd. located?

Dupage Medical Group, Ltd. is located at 2100 Glenwood Ave, Joliet, IL 60435. The listed phone number is (815) 725-2121.

What is Dupage Medical Group, Ltd.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Dupage Medical Group, Ltd. enrolled in Medicare?

Yes. Dupage Medical Group, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dupage Medical Group, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dupage Medical Group, Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dupage Medical Group, Ltd. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dupage Medical Group, Ltd. was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.