Delaney Corbitt, PA-C
Individual provider Active NPI Physician Assistant · Chicago, IL
NPI 1346902483 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1346902483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085009115 (IL)
- Practice address
- 8234 S Ashland Ave
Chicago, IL 60620-4625 - Phone
- (773) 874-1400
- Fax
- (773) 962-2880
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920001259 | IL | Practitioner - Physician Assistant | 3870978356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085009115 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current |
Accepting new patients | |
| Access Community Health Network | Current |
Accepting new patients |
Locations
2055 W Army Trail Rd
Addison, IL 60101
Phone (630) 580-3190
121 S Wilke Rd
Ste 600
Arlington Heights, IL 60005
Phone (847) 259-4122
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
8234 S Ashland Ave
Chicago, IL 60620
Phone (773) 874-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085009115 | IL | Yes |
Addresses
Primary practice location
8234 S Ashland Ave
Chicago, IL 60620-4625
Mailing address
8234 S Ashland Ave
Chicago, IL 60620-4625
Phone (773) 874-1400
Other providers in Chicago, IL
- Rebecca Dallas Corbicz
- Pratilia Corbin
- Stephanie Corbin
- Theodore Corbin
- Ariel Corbitt
- Jacqueline B Corboy
- Carol L Corbridge
- Susan Joan Corbridge
- Thomas Corbridge
- Amy Corcoran
All providers in Chicago, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.