Angela D Delawder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-001746 Issued in IL

Practice address

5015 W 65TH St
Bedford Park, IL 60638-5701

Phone

(708) 924-8000

Fax

(708) 924-8008

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• American Current Care of Illinois PC

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1285071241

  IL

  Medicare reassignment

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1326523432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 KIMBERLY CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615369",
            "telephone_number": "630-244-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 W 65TH ST",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606385701",
            "telephone_number": "708-924-8000",
            "fax_number": "708-924-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAWDER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care of Illinois PC
• Amp Partners, LLC
• Dawid Bula, PHARMD
• Excel Occupational Health Clinic S.C.
• Elaine Ferginia Ferguson, M.D.
• Firstcare Urgent Care Center P.C.
• Denise Molina Furlong, MD
• Anolan Garcia Hernandez

• Physician Assistant in Bedford Park, IL
• Providers in Bedford Park, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.