MEDICARE: DR. DELILAH M BURROWES M.D.

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
1	2085N0700X	Neuroradiology Physician	0036091935	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	021622158	OTHER	IL	CMMG BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578563649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELILAH M BURROWES M.D.

Provider Business Mailing Address
First Line	:	2300 CHILDREN'S PLAZA, NO. 9
Second Line	:	CHILDREN'S MEMORIAL HOSPITAL
City	:	CHICAGO
State	:	IL
Zip	:	60614-3363
Country	:	US
Telephone Number	:	773-880-6792
Fax Number	:	773-880-3517

Provider Business Practice Location Address
First Line	:	2300 CHILDREN'S PLAZA, NO. 9
Second Line	:	CHILDREN'S MEMORIAL HOSPITAL
City	:	CHICAGO
State	:	IL
Zip	:	60614-3363
Country	:	US
Telephone Number	:	773-880-6792
Fax Number	:	773-880-3517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/07/2023

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