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Individual

DR. JAMES GEORGE DELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
635 N FAIRBANKS CT, CHICAGO, IL 60611-5435
(312) 472-3173
(312) 472-3173
Mailing address
635 N FAIRBANKS CT, CHICAGO, IL 60611-5435
(312) 472-3173
(312) 472-3176

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-091115
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400355167
MEDICARE PTAN
IL
01
F400355168
MEDICARE PTAN
IL
Enumeration date
08/13/2006
Last updated
09/19/2018
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