Provider Demographics
NPI:1124088984
Name:DELZELL, PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:DELZELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CHAGRIN RD STE 20A
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4707
Mailing Address - Country:US
Mailing Address - Phone:440-557-5011
Mailing Address - Fax:440-557-5040
Practice Address - Street 1:8401 CHAGRIN RD STE 20A
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4707
Practice Address - Country:US
Practice Address - Phone:440-557-5011
Practice Address - Fax:440-557-5040
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043624A2085R0202X
OH350688752085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036104114OtherBLUE SHIELD
ILK18565Medicare ID - Type UnspecifiedTRI-CITIES OPEN MRI
ILK27861Medicare ID - Type UnspecifiedMEDICARE -AREA 99
ILG70601Medicare UPIN
ILK27847Medicare ID - Type UnspecifiedMERIDIAN- AREA 15
ILP00248520Medicare ID - Type UnspecifiedRR MEDICARE - JOLIET MRI
ILK18920Medicare ID - Type UnspecifiedBUCKTOWN OPEN MRI
ILK18922Medicare ID - Type UnspecifiedOPEN MRI OLYMPIA FIELDS
ILK27854Medicare ID - Type UnspecifiedMEDICARE -AREA 16
ILK30157Medicare ID - Type UnspecifiedNORTHSHORE PHYSICIAN GRP
IL036104114Medicaid
ILK18750Medicare ID - Type UnspecifiedOPEN MRI CORPORATE WOODS
ILK18923Medicare ID - Type UnspecifiedS.SUBURBAN MRI ORLAND
ILK18921Medicare ID - Type UnspecifiedJOLIET OPEN MRI
ILK18919Medicare ID - Type UnspecifiedBLOOMINGDALE OPEN MRI