Dellangela, Kim Marie
Dellangela, Kim Marie is an sole proprietor health care provider with primary practice located at 252 Home Ave , Oak Park IL 60302-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Dellangela, Kim Marie can be contacted via phone (630) 310-0890.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 71004467 | Illinois |
Profile Details
NPI number | 1871567107 |
---|---|
LBN Legal business name | Dellangela, Kim Marie |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2006 |
Last updated | Oct 13th, 2014 - about 10 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 | 1871567107 | NPPES |
Illinois | MEDICAID | 71004467 |
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