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General NPI Number Information
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NPI Number | 1952312456
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Entity Type | Organization
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Legal Business Name | HEALTH DELIVERY MANAGEMENT L L C
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 610 S MAPLE AVE STE 1200
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City | OAK PARK
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State | IL
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Zip | 60304-1091
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Country | US
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Telephone | 708-660-6200
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Fax | 708-660-6199
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Provider Business Mailing Address
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Address Line | PO BOX 88273
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City | CHICAGO
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State | IL
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Zip | 60680-1273
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Country | US
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Telephone | 312-563-3225
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Fax | 312-563-3223
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Authorized Official
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Title or Position | DIRECTOR/SECRETARY
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Name | MATTHEW KEMPER
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Credential | PHARMD
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Telephone | 312-563-2326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 054015422
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License Number State | IL
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