Individual
MARJORIE LEE DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005267
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147162
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RR (GROUP)
IL
01
—
P00288984
RR MEDICARE
IL
01
—
P01173391
MEDICARE RR (INDIVIDUAL)
IL
Enumeration date
10/24/2006
Last updated
07/08/2015
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