Healthcare Provider Details

I. General information

NPI: 1629956552
Provider Name (Legal Business Name): HARMONY MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 FOREST DR
ELGIN IL
60123-1328
US

IV. Provider business mailing address

916 FOREST DR
ELGIN IL
60123-1328
US

V. Phone/Fax

Practice location:
  • Phone: 773-977-2101
  • Fax:
Mailing address:
  • Phone: 773-977-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY M DELIZO III
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 773-977-2101