Healthcare Provider Details

I. General information

NPI: 1871139766
Provider Name (Legal Business Name): JOANNA DELGADO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOANNA WEGRZYNOWICZ

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 BALLARD RD
PARK RIDGE IL
60068-1005
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-318-2444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209-018673
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-018673
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: