Active NPI
Delta Medical Group LLC
- Medical Oncology Physician
- West Chicago, IL
National Provider Identifier
1225750193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- DELTA MEDICAL GROUP LLC
- Practice address
- 206 S Neltnor Blvd
West Chicago, IL 60185-2847 - Phone
- (773) 658-0311
- NPI assigned
- Sep 16, 2022
- 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. Kalid Adab, MD
- Title
- Owner
- Phone
- (773) 658-0311
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | Primary |
Addresses
Primary practice location
206 S Neltnor Blvd
West Chicago, IL 60185-2847
Mailing address
PO Box 578220
Chicago, IL 60657-7303
Phone (773) 658-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221020000330 | IL | Part B Supplier - Clinic/Group Practice | 2769858497 |
Receives reassigned benefits from 1 practitioner Practice locations: Chicago, IL; West Chicago, IL |
National Provider Directory
National Provider DirectoryLocations
206 S Neltnor Blvd
West Chicago, IL 60185
Phone (312) 860-3060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1225750193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578220",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577303",
"telephone_number": "773-658-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S NELTNOR BLVD",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601852847",
"telephone_number": "773-658-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-16",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "ADAB",
"authorized_official_first_name": "KALID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-658-0311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.