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Individual

KIM MARIE DELLANGELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
252 HOME AVE, OAK PARK, IL 60302-3102
(630) 310-0890
Mailing address
252 HOME AVE, OAK PARK, IL 60302-3102
(630) 310-0890

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
71004467
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71004467
IL
Enumeration date
02/14/2006
Last updated
10/13/2014
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