Healthcare Provider Details

I. General information

NPI: 1972417210
Provider Name (Legal Business Name): REBECCA HELEN DALY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 GRIFFIN AVE
PEKIN IL
61554-6246
US

IV. Provider business mailing address

319 S CHESTNUT ST
TREMONT IL
61568-8536
US

V. Phone/Fax

Practice location:
  • Phone: 309-347-4277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041470496
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: