Active NPI
Benjamin Delgado Jr.
- Developmental Therapist
- Lombard, IL
National Provider Identifier
1265553085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- BD38020901P
- Practice address
- 701 N Kramer Ave
Lombard, IL 60148-1943 - Phone
- (630) 561-2075
- Fax
- (630) 873-5441
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | BD38020901P | IL | Primary |
Addresses
Primary practice location
701 N Kramer Ave
Lombard, IL 60148-1943
Mailing address
701 N Kramer Ave
Lombard, IL 60148-1943
Phone (630) 561-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BD38020901P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps & Bounds Family Services Inc | Developmental Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Therapist
- Lombard, IL
- NPI 1083735906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265553085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N KRAMER AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481943",
"telephone_number": "630-561-2075",
"fax_number": "630-873-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N KRAMER AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481943",
"telephone_number": "630-561-2075",
"fax_number": "630-873-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "BD38020901P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.