NPIMap

Organization Active NPI

Health Delivery Management, LLC

  • Clinic Pharmacy
  • Oak Park, IL
National Provider Identifier
1205258209
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
054014555 Issued in IL
Legal business name
HEALTH DELIVERY MANAGEMENT, LLC
Practice address
610 S Maple Ave
Suite 1600
Oak Park, IL 60304-1091
Phone
(708) 660-6822
Fax
(708) 660-6821
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Matthew Kemper
Title
Secretary/Directo
Phone
(312) 563-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 054014555 IL Primary

Addresses

Primary practice location

610 S Maple Ave
Suite 1600
Oak Park, IL 60304-1091

Mailing address

610 S Maple Ave
Suite 1600
Oak Park, IL 60304-1091
Phone (708) 660-6822

Other identifiers 2

IdentifierTypeStateIssuer
1474573OtherILNABP
006MedicaidIL

Other names 1

  • Rush Medical Office Building Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Delivery Managment LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1205258209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE",
            "address_2": "SUITE 1600",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "708-660-6822",
            "fax_number": "708-660-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE",
            "address_2": "SUITE 1600",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "708-660-6822",
            "fax_number": "708-660-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DELIVERY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "312-563-2326"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "054014555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1474573",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Medical Office Building Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rush Medical Office Building Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.