Individual
DR. ANTHONY C. DELACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16622 S. 107TH CT., ORLAND PARK, IL 60467-8898
(708) 403-2900
(708) 403-2228
Mailing address
16622 S. 107TH CT., ORLAND PARK, IL 60467-8898
(708) 403-2900
(708) 403-2228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061568
—
IL
Enumeration date
03/11/2011
Last updated
03/11/2011
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