DR. JORGE DELATORRE M.D. NPI 1063435923

NPI Information

NPI: 1063435923
Provider Name: DR. JORGE DELATORRE, M.D.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
3058 N AUSTIN AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 637-6031
Get Directions

DR. Jorge Delatorre, M.D. is a body imaging radiology in Chicago, IL. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Jorge Delatorre, M.D. NPI is 1063435923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3058 N AUSTIN AVE
CHICAGO, IL
ZIP 60634-126
Phone: (773) 637-6031
Fax: (773) 637-6031

The enumeration date for this NPI number is 7/25/2006 and was last updated on 4/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	036056756	ILLINOIS	No
2	2085N0904X	Radiology	Nuclear Radiology	036056756	ILLINOIS	No
3	2085P0229X	Radiology	Pediatric Radiology	036056756	ILLINOIS	No
4	2085R0202X	Radiology	Diagnostic Radiology	036056756	ILLINOIS	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	036056756	ILLINOIS	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	036056756	ILLINOIS	No
7	2085B0100X	Radiology	Body Imaging	036056756	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001619902	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD-IL
2	K24637	MEDICARE PIN	ILLINOIS
3	E23667	MEDICARE UPIN	ILLINOIS
4	362340	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP PROVIDER #
5	036056756-3	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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