Healthcare Provider Details

I. General information

NPI: 1003463167
Provider Name (Legal Business Name): ALMA DELIA CORONA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 IROQUOIS AVE STE 300
NAPERVILLE IL
60563-8571
US

IV. Provider business mailing address

1280 IROQUOIS AVE STE 300
NAPERVILLE IL
60563-8571
US

V. Phone/Fax

Practice location:
  • Phone: 630-906-3700
  • Fax: 630-906-0730
Mailing address:
  • Phone: 630-906-3700
  • Fax: 630-906-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209019024
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: