Healthcare Provider Details

I. General information

NPI: 1407662547
Provider Name (Legal Business Name): ERIN DELMORE OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 06/17/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W LAKE ST STE 108
ELMHURST IL
60126-1419
US

IV. Provider business mailing address

501 W LAKE ST STE 108
ELMHURST IL
60126-1419
US

V. Phone/Fax

Practice location:
  • Phone: 331-209-0047
  • Fax:
Mailing address:
  • Phone: 331-209-0047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.016347
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: