Healthcare Provider Details

I. General information

NPI: 1780357798
Provider Name (Legal Business Name): DALANNE JOY GABO BEARNOD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N EOLA RD STE 110
AURORA IL
60502-9619
US

IV. Provider business mailing address

2000 OGDEN AVE STE P050
AURORA IL
60504-5893
US

V. Phone/Fax

Practice location:
  • Phone: 630-692-5660
  • Fax: 630-692-5661
Mailing address:
  • Phone: 630-499-2404
  • Fax: 304-994-7506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085008484
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: