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

Primary practice address
252 Home Ave Oak Park IL 60302-3102
Phone: (630) 310-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871567107 NPPES
Illinois MEDICAID 71004467

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