DR. JORGE DELATORRE (NPI# 1063435923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063435923 |
| Entity Type | Individual |
| Full Name | DR. JORGE DELATORRE |
| Credential | M.D. |
| Practice Address |
3058 N Austin Ave Chicago IL 60634-5126 |
| Practice Telephone | 7736376031 |
| Practice Fax Number | 7736376031 |
| Mailing Telephone | 7736376031 |
| Mailing Fax Number | 7736376031 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036056756 | IL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
036056756 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036056756-3 | 05 | |
| IL | BLUE CROSS BLUE SHIELD-IL | 0001619902 | 01 |
| Street Address |
3058 N AUSTIN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
| 1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
| 1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
| 1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
| 1194358200 | Ming Lun Chiu | Radiology | 251 E Huron St, Chicago, IL 60611-2908 | 2020-02-17 |
| 1841752896 | Xiao Zhou Du | Radiology | 251 E Huron St, Chicago, IL 60611-3055 | 2019-04-01 |
| 1295179448 | Przemyslaw Ignaciuk | Radiology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2013-04-18 |
| 1164740874 | Caroline Kato | Radiology | 1901 W Harrison St, Rm 2533, Chicago, IL 60612-3714 | 2010-05-06 |
| 1467778134 | David V. Schacht | Radiology | 5841 S Maryland Ave, P220/mc2026, Chicago, IL 60637-1447 | 2010-04-20 |
| 1437312477 | Melvy Sarah Mathew | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-07-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.