Organization
SW PEDIATRICS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY C. DELACH (PRESIDENT)
(708) 403-2900
Entity
Organization
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
036-061568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061568
—
IL
Enumeration date
06/28/2006
Last updated
01/09/2019
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