| Delta Healthcare Inc | |
|
731 N Sangamon St Chicago IL 60642-5955 | |
| (312) 226-4661 | |
| (312) 962-4819 |
| Full Name | Delta Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 731 N Sangamon St, Chicago, Illinois |
| Authorized Official Name and Position | Darkhan Nukeyev (OWNER) |
| Authorized Official Contact | 3122264661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Healthcare Inc 731 N Sangamon St Chicago IL 60642-5955 Ph: (312) 226-4661 | Delta Healthcare Inc 731 N Sangamon St Chicago IL 60642-5955 Ph: (312) 226-4661 |
| NPI Number | 1982958096 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982958096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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