Individual
MRS. ANGELA D DELAWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5015 W 65TH ST, BEDFORD PARK, IL 60638-5701
(708) 924-8000
(708) 924-8008
Mailing address
1928 KIMBERLY CT, DARIEN, IL 60561-5369
(630) 244-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001746
IL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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