Provider Demographics
NPI:1871506352
Name:DALINKA, JEROME FRANK (DO)
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:FRANK
Last Name:DALINKA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7329 N LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1925
Mailing Address - Country:US
Mailing Address - Phone:847-679-5062
Mailing Address - Fax:773-539-7508
Practice Address - Street 1:1634 W POLK ST
Practice Address - Street 2:UNION HEALTH SERVICE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4352
Practice Address - Country:US
Practice Address - Phone:312-829-4224
Practice Address - Fax:312-829-3742
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0021601569OtherBLUE CROSS/BLUE SHIELD
ILC41334Medicare UPIN
IL0021601569OtherBLUE CROSS/BLUE SHIELD