Dino S Delicata MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036054197 Issued in IL

Legal business name

DINO S DELICATA MD SC

Practice address

1034 Warren Ave
Downers Grove, IL 60515-3601

Phone

(630) 960-5310

Fax

(630) 969-7841

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dino S Delicata, MD

Title

Owner

Phone

(630) 960-5310

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1023279684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153601",
            "telephone_number": "630-960-5310",
            "fax_number": "630-969-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153601",
            "telephone_number": "630-960-5310",
            "fax_number": "630-969-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINO S DELICATA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DELICATA",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-960-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036054197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "21609484",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054197",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara L Diebold, DPT
• Carolyn Dienes, OD
• Anna Michele Diete
• Digestive Health Services, SC
• Kimberly Marie Dinan, DVM
• Jeffrey M Dire, PH.D.
• Gerda Dirzyte, AU.D
• Brett Killian Dixon, PA
• DM Enterprises Group, Inc. (Home Helpers)
• Breda Marie Doak, M.A., LCPC

• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.