MEDICARE: LAURA DELGADO RN, BSN, MSN, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209032341	IL

General Provider Information

NPI Number	:	1982555850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA DELGADO RN, BSN, MSN, PMHNP

Provider Business Mailing Address
First Line	:	5136 W WELLINGTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5019
Country	:	US
Telephone Number	:	773-600-9815
Fax Number	:

Provider Business Practice Location Address
First Line	:	5136 W WELLINGTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5019
Country	:	US
Telephone Number	:	773-600-9815
Fax Number	:

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/12/2026

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