Organization Active NPI

Delta Healthcare Inc

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1982958096
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DELTA HEALTHCARE INC
Practice address
731 N Sangamon St
Chicago, IL 60642-5955
Phone
(312) 226-4661
Fax
(312) 962-4819
NPI assigned
Oct 29, 2012
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Darkhan Nukeyev
Title
Owner
Phone
(312) 226-4661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

731 N Sangamon St
Chicago, IL 60642-5955

Mailing address

731 N Sangamon St
Chicago, IL 60642-5955
Phone (312) 226-4661

National Provider Directory

National Provider Directory

Locations

1200 N Ashland Ave
Ste 201
Chicago, IL 60622
Phone (312) 226-0322

731 N Sangamon St
Chicago, IL 60642
Phone (312) 226-4661

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1982958096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425955",
            "telephone_number": "312-226-4661",
            "fax_number": "312-962-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425955",
            "telephone_number": "312-226-4661",
            "fax_number": "312-962-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "NUKEYEV",
        "authorized_official_first_name": "DARKHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-226-4661"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.