DR. CRAIG J. DELLA VALLE M.D. NPI 1780663690

NPI Information

NPI: 1780663690
Provider Name: DR. CRAIG J. DELLA VALLE, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Phone: (312) 243-4244
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DR. Craig J. Della Valle, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Chicago, IL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Craig J. Della Valle, M.D. NPI is 1780663690. 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:

1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612-841
Phone: (312) 243-4244
Fax: (312) 942-1517

The NPI 1780663690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 9/18/2018.

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	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	036105060	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	1633878	OTHER	ILLINOIS	BCBS
2	DA4902	OTHER		RAILROAD MEDICARE PTAN
3	207073	OTHER	ILLINOIS	MEDICARE PTAN LOCALITY 15
4	7132441	OTHER		AETNA
5	036105060	MEDICAID	ILLINOIS
6	207067	OTHER	ILLINOIS	MEDICARE PTAN LOCALITY 16
7	P00060740	OTHER		RAILROAD MEDICARE

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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