Individual
DELIA M LACAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
(331) 221-3854
Mailing address
1200 S YORK ST, ELMHURST, IL 60126-5626
(331) 221-1000
(331) 221-3854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2090061650
IL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
209006650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090061650
—
IL
Enumeration date
09/07/2007
Last updated
04/09/2021
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