Individual
JOSEPH A. DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
505 S 8TH ST, EAST SAINT LOUIS, IL 62201-2919
(618) 482-7330
(618) 515-5189
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3J76
MO
207Q00000X
Family Medicine Physician
R3J76
MO
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036082332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00273931
RR MEDICARE
MO
Enumeration date
06/07/2006
Last updated
02/17/2026
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