MEDICARE: DELNOR HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	070004566	IL

General Provider Information

NPI Number	:	1528331717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELNOR HOSPITAL

Provider Business Mailing Address
First Line	:	296 RANDALL RD
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134-4203
Country	:	US
Telephone Number	:	630-208-4215
Fax Number	:	630-208-5507

Provider Business Practice Location Address
First Line	:	296 RANDALL RD
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134-4203
Country	:	US
Telephone Number	:	630-208-4215
Fax Number	:	630-208-5507

Authorized Official
Title or Position	:	LEAD PHYSICAL THERAPIST
Name	:	PAMELA PURCELL
Credential	:	PT
Telephone Number	:	630-208-4215

Provider Enumeration Date	:	02/17/2012
Last Update Date	:	02/06/2015

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Directions to “DELNOR HOSPITAL ” Practice Location

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