Individual
DR. SAMUEL D DELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 682-7400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036041409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604498
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/11/2006
Last updated
03/12/2010
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