Delatorre, Jorge
Delatorre, Jorge is an individual health care provider with primary practice located at 3058 N Austin Ave , Chicago IL 60634-5126. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Delatorre, Jorge can be contacted via phone (773) 637-6031.Contact Information
Primary practice address
3058 N Austin Ave
Chicago IL 60634-5126
Phone: (773) 637-6031
Fax: (773) 637-6031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036056756 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036056756 | Illinois |
Profile Details
NPI number | 1063435923 |
---|---|
LBN Legal business name | Delatorre, Jorge |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Apr 13th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063435923 | NPPES |
Illinois | Other | 0001619902 | BLUE CROSS BLUE SHIELD-IL |
Illinois | MEDICAID | 036056756-3 | BLUE CROSS BLUE SHIELD-IL |
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