Active NPI
Delis Family Medical, S.C.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1063566487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DELIS FAMILY MEDICAL, S.C.
- Practice address
- 2740 W Foster Ave
Ste. 316
Chicago, IL 60625-3500 - Phone
- (773) 561-8481
- Fax
- (773) 561-8495
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James George Delis, D.O.
- Title
- President
- Phone
- (312) 593-0713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
2740 W Foster Ave
Ste. 316
Chicago, IL 60625-3500
Mailing address
4116 Crestwood Dr
Northbrook, IL 60062-7545
Phone (847) 205-1464
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1750393286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063566487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 CRESTWOOD DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627545",
"telephone_number": "847-205-1464",
"fax_number": "847-205-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 W FOSTER AVE",
"address_2": "STE. 316",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253500",
"telephone_number": "773-561-8481",
"fax_number": "773-561-8495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELIS FAMILY MEDICAL, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELIS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-593-0713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.