DAVID L DELOSO MD
NPI 1912002882
Pediatrics in Mount Vernon, IL

Q: What is David Deloso's NPI number?

The NPI number for David Deloso is 1912002882. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is David Deloso's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for David Deloso was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006

2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 244-6544(618) 244-6577 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David L Deloso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID L DELOSO MD (NPI 1912002882) is an individual pediatrics provider in Mount Vernon, Illinois, licensed in Illinois (036089974) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1912002882

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDAVID L DELOSOCredential: MD

Location Address2920 VETERANS MEMORIAL DRMount Vernon, IL 62864-5924

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-1624 · Fax (618) 724-4628

Phone(618) 244-6544

Fax(618) 244-6577

Sole ProprietorNo

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJune 7, 2019

✔ NPI 1912002882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036089974

Definition

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.

2920 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

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Other Identifiers 2

Medicaid036089974IL

Other4106916Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDY K JENKINS LPN

Licensed Practical Nurse