Individual
JAMES A. DALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7107 W BELMONT AVE, SUITE 7, CHICAGO, IL 60634-4688
(773) 622-2006
Mailing address
7634 W BELMONT AVE, CHICAGO, IL 60634-3110
(773) 589-1677
(773) 589-1688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036064448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064448
—
IL
Enumeration date
11/22/2005
Last updated
08/23/2010
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