Individual provider · Type 1 NPI

Jared Tyler Mudlong Delapaz, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1982407524 Active

Practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Call (773) 665-6730 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982407524

Jared Tyler Mudlong Delapaz, MD's National Provider Identifier is 1982407524, issued on Mar 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 29, 2025.