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NPI 1619771771

NPI 1619771771 : MICHELLE G DELGADILLO NP : HAZEL CREST, IL

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General NPI Number Information
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    NPI Number           |    1619771771
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE G DELGADILLO NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2025
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    17800 KEDZIE AVE 
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    City                 |    HAZEL CREST
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    State                |    IL
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    Zip                  |    60429-2029
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    Country              |    US
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    Telephone            |    708-799-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    29373 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1293
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    209-032225
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    209-032225
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041447952
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    License Number State |    IL
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