Organization Active NPI

Delta Medical Group LLC

  • Medical Oncology Physician
  • West Chicago, IL
National Provider Identifier
1225750193
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
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

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Kalid Adab, MDNPI 1346473345
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)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.