Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912002882 Individual Practitioner Male Practitioner

Dr. David L Deloso , MD

Pediatrics • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. David Deloso, MD is a registered healthcare professional specializing in Pediatrics in Mount Vernon, IL. Practice services are available at 2920 VETERANS MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2920 Veterans Memorial Dr

Mount Vernon, IL 628645924

Telephone 6182446544
Fax 6182446577
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Mount Vernon, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036089974

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036089974 (IL)
Commercial Insurance / Payer ID Bcbs
4106916

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
April Lewis , LPN

Licensed Practical Nurse

NPI 1003066655

Licensed Practical Nurse

Judy Jenkins , LPN

Licensed Practical Nurse

NPI 1003133539

Licensed Practical Nurse

NPI 1053501791

Doctor of Dental Medicine

Stacy Owens , LPN

Licensed Practical Nurse

NPI 1073985511

Licensed Practical Nurse

Ronda Wilson , LPN

Licensed Practical Nurse

NPI 1093083974

Licensed Practical Nurse

R Wangler , LPN

Licensed Practical Nurse

NPI 1104075803

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 07, 2019

Registered at 2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 628645924 (Tel: 6182446544)

📍
Updated Business Mailing Address June 07, 2019

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187241624)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL 628642157 (Tel: 6182469909)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL 628642157 (Tel: 6182422317)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID DELOSO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #036089974 in IL)

🟢
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912002882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: June 07, 2019
Sole Proprietor: No

Mailing Address

Po Box 155

Christopher, IL 628220155

Phone: 6187241624

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.