| Deltavisioninc | |
|
2939 W Addison St Chicago IL 60618-4635 | |
| (773) 250-0002 | |
| Not Available |
| Full Name | Deltavisioninc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2939 W Addison St, Chicago, Illinois |
| Authorized Official Name and Position | Zehra Jafferi (PRESIDENT) |
| Authorized Official Contact | 7082126738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deltavisioninc 965 Oakhurst Ln Riverwoods IL 60015-2513 Ph: () - | Deltavisioninc 2939 W Addison St Chicago IL 60618-4635 Ph: (773) 250-0002 |
| NPI Number | 1043885007 |
|---|---|
| Provider Enumeration Date | 05/23/2021 |
| Last Update Date | 05/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043885007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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