Healthcare Provider Details

I. General information

NPI: 1679735716
Provider Name (Legal Business Name): JESSICA TOD DELANEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DR STE 302
GENEVA IL
60134-4222
US

IV. Provider business mailing address

351 DELNOR DR STE 302
GENEVA IL
60134-4233
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0280
  • Fax: 630-232-3895
Mailing address:
  • Phone: 630-232-0280
  • Fax: 630-315-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number148260
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: