Healthcare Provider Details

I. General information

NPI: 1467246355
Provider Name (Legal Business Name): REMEDIAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 HOPEDALE RD
HOPEDALE IL
61747-9672
US

IV. Provider business mailing address

8303 HOPEDALE RD
HOPEDALE IL
61747-9672
US

V. Phone/Fax

Practice location:
  • Phone: 309-363-1047
  • Fax:
Mailing address:
  • Phone: 309-363-1047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANNABELLE DAYOLA
Title or Position: PRESIDENT
Credential: APN
Phone: 309-439-9400