NPIMap

Organization Active NPI

Deltavisioninc

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1043885007
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DELTAVISIONINC
Practice address
2939 W Addison St
Chicago, IL 60618-4635
Phone
(773) 250-0002
NPI assigned
May 23, 2021
Last updated
May 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Authorized official

Name
Zehra Jafferi, ODNPI 1659702678
Title
President
Phone
(708) 212-6738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2939 W Addison St
Chicago, IL 60618-4635

Mailing address

965 Oakhurst LN
Riverwoods, IL 60015-2513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1043885007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 OAKHURST LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600152513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184635",
            "telephone_number": "773-250-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTAVISIONINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "JAFFERI",
        "authorized_official_first_name": "ZEHRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-212-6738",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.