Healthcare Provider Details

I. General information

NPI: 1851639371
Provider Name (Legal Business Name): HEALTH DELIVERY MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 CORPORATE WEST DR STE 201
LISLE IL
60532-3622
US

IV. Provider business mailing address

PO BOX 88273
CHICAGO IL
60680-1273
US

V. Phone/Fax

Practice location:
  • Phone: 708-660-4271
  • Fax: 708-660-4561
Mailing address:
  • Phone: 312-563-3223
  • Fax: 312-563-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number054018113
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW KEMPER
Title or Position: DIRECTOR/SECRETARY
Credential: PHARMD
Phone: 312-563-2326