Anthony C. Delach, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036061568 Issued in IL

Practice address

16622 S. 107TH CT.
Orland Park, IL 60467-8898

Phone

(708) 403-2900

Fax

(708) 403-2228

NPI assigned

Mar 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1245538438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 S. 107TH CT.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "708-403-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16622 S. 107TH CT.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "708-403-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACH",
        "first_name": "ANTHONY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036061568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica J Decicco, WHNP
• Lazma Deeb, DMD
• Maria Degrazia Cohen
• Julie A Deisinger, PH.D.
• Megan Joy Dejong, M.D.
• Gina Delaurentis, LCSW
• Martina A. Delaurentis, D.D.S.
• Jessica Rae Delgado, APRN
• Delta Lif Inc
• Carol Delucia, BA, MSW, LCSW

• Pediatrics Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.