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Individual

ALBERTO L. DELGADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 FRANKLIN AVE, NORMAL, IL 61761-3517
(309) 268-2182
Mailing address
250 N SHADELAND AVE, SUITE 130-PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(217) 443-2113
(317) 962-4343

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032649A
IN
207P00000X
Emergency Medicine Physician
036-066289
IL
207Q00000X
Family Medicine Physician
036066289
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000606443
ANTHEM BCBS
IN
01
036066289
BLUE SHIELD
IL
05
036066289
IL
05
036066289-1
IL
05
036066289-7
IL
05
100008440
IN
Enumeration date
08/29/2005
Last updated
02/03/2017
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