MEDICARE: DR. MICHAEL K DELANEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	036061952	IL

General Provider Information

NPI Number	:	1851394522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL K DELANEY MD

Provider Business Mailing Address
First Line	:	7100 COMMERCE WAY
Second Line	:	SUITE 180
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2829
Country	:	US
Telephone Number	:	615-465-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 W DEYOUNG ST
Second Line	:	STE 208
City	:	MARION
State	:	IL
Zip	:	62959-5897
Country	:	US
Telephone Number	:	618-997-4012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/23/2012

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