KIM MARIE DELLANGELA PHD NPI 1871567107

NPI Information

NPI: 1871567107
Provider Name: KIM MARIE DELLANGELA, PHD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
252 HOME AVE
OAK PARK, IL
ZIP 60302
Phone: (630) 310-0890
Get Directions

Kim Marie Dellangela, PHD is a child and adolescent psychiatry psychiatry neurology in Oak Park, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Kim Marie Dellangela, PHD NPI is 1871567107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

252 HOME AVE
OAK PARK, IL
ZIP 60302-102
Phone: (630) 310-0890

The enumeration date for this NPI number is 2/14/2006 and was last updated on 10/13/2014.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	71004467	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
1	71004467	MEDICAID	ILLINOIS
2	R17348	MEDICARE UPIN
3	203880	MEDICARE ID-TYPE UNSPECIFIED	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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