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Individual

MARCIAL DELID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
4440 W 95TH ST STE AIP, OAK LAWN, IL 60453-2600
(708) 684-5400
(708) 520-1976

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041294239
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209026063
IL DEPARTMENT OF FINANCE AND PROF REGULATION
IL
Enumeration date
08/23/2022
Last updated
11/22/2022
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