Healthcare Provider Details

I. General information

NPI: 1780857920
Provider Name (Legal Business Name): NANCY H DALY APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E. SCHILLER STREET SUITE 319 NP CARE OF IL LLC
ELMHURST IL
60126
US

IV. Provider business mailing address

612 COOLIDGE AVE
GLEN ELLYN IL
60137-6307
US

V. Phone/Fax

Practice location:
  • Phone: 630-832-1775
  • Fax:
Mailing address:
  • Phone: 630-469-4807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: