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NPI Code Detail

MEDICARE: HEALTH DELIVERY MANAGEMENT L L C

MEDICARE: HEALTH DELIVERY MANAGEMENT L L C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0002XClinic Pharmacy54011633IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12023410OTHERPK

General Provider Information

NPI Number : 1306926506
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH DELIVERY MANAGEMENT L L C
Provider Business Mailing Address
First Line : PO BOX 88273
Second Line :
City : CHICAGO
State : IL
Zip : 60680-1273
Country : US
Telephone Number : 312-563-3222
Fax Number : 312-563-3223
Provider Business Practice Location Address
First Line : 1520 W HARRISON ST STE 9115
Second Line :
City : CHICAGO
State : IL
Zip : 60607-3106
Country : US
Telephone Number : 312-563-2363
Fax Number : 312-942-2330
Authorized Official
Title or Position : SECRETARY/DIRECTO
Name : MATTHEW KEMPER
Credential :
Telephone Number : 312-563-2326
Provider Enumeration Date : 10/16/2006
Last Update Date : 01/02/2024

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Directions to “HEALTH DELIVERY MANAGEMENT L L C ” Practice Location

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