DUPAGE MEDICAL GROUP, LTD
NPI 1780868562
Clinic/Center - Multi-Specialty in Tinley Park, IL
NPI Status: Active since December 28, 2007
Contact Information
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
Phone: (708) 226-7000
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 14D2131908
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2025
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 Tinley Park, Illinois operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1780868562 assigned on December 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Dupage Medical Group, Ltd. The authorized official of this NPI record is Paul Merrick Md (Chairman Of The Board)
- NPI
- 1780868562
- Provider Legal Name
- DUPAGE MEDICAL GROUP, LTD
- Other Organization Name
- DUPAGE MEDICAL GROUP, LTD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17495 LA GRANGE RD TINLEY PARK, IL 60487
- Location Phone
- (708) 226-7000
- Mailing Address
- 17495 LA GRANGE RD TINLEY PARK, IL 60487
- Mailing Phone
- (708) 226-7000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2007
- Last Update Date
- 10-13-2023
- Code Navigator
Location Map
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD5640 | OTHER (01) | IL | RAILROAD MEDICARE |
| 01621031 | OTHER (01) | IL | BCBS PROVIDER ID |
| IL3596 | OTHER (01) | IL | LOCALITY 15 MEDICARE |
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
- 14D2131908
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2023
- Certificate Expiration Date
- September 27, 2025
- Laboratory Director
- MICHAEL BRUSCA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dupage Medical Group, Ltd 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.
Reviews for DUPAGE MEDICAL GROUP, LTD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 7 | 8 | 0 | 8 | 6 | 8 | 5 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 16 | 6 | 16 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 6 + 6 + 1 + 6 + 5 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1780868562 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MEAGAN M TURNER PAC
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
KRISTIN M DERUNGS PA-C
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
JANE POMRANKY
Nurse Practitioner
(Family)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
MRS. JENNIFER NTOVAS APN
Nurse Practitioner
(Family)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
DR. MOHAMMAD RASMI MATARIA M.D.
Internal Medicine
(Nephrology)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
PRZEMYSLAW J ILCZYK PT
Physical Therapist
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
DU PAGE MEDICAL GROUP LTD
Pharmacy
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
DR. PHILIP JOHN DIGIACOMO III MD
Emergency Medicine
17495 LA GRANGE RD
#417
TINLEY PARK, IL
ZIP 60487
DR. MAZEN DIAB M.D.
Internal Medicine
(Nephrology)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
MOHAMMED MUQEET ADNAN MD
Internal Medicine
(Gastroenterology)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
ISHANI PATEL PA
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
DR. DANIEL SOGIN SON M.D.
Radiology
(Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
TEKEKEE DESHA BUCKNER FNP
Nurse Practitioner
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
MRS. ELZBIETA KOLODZIEJ P.A.
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
GILLIAN ANNE BROOKS
Physical Therapy Assistant
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
ROBYN STRUM FNP-C
Nurse Practitioner
(Family)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
FARES HAMAD D.O.
Internal Medicine
(Gastroenterology)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
JENNIFER LYNN METER LCSW
Social Worker
(Clinical)
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
JULIE PATACSIL MD
Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
MARLEY COUGHLIN PT
Physical Therapist
17495 LA GRANGE RD
TINLEY PARK, IL
ZIP 60487
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780868562, enumerated as an "organization" on December 28, 2007.
The provider is located at 17495 LA GRANGE RD TINLEY PARK, IL 60487 and the phone number is (708) 226-7000.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
