Provider Demographics
NPI:1609598655
Name:MENCONI, DELANIE JOY (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:DELANIE
Middle Name:JOY
Last Name:MENCONI
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3039 TIMBER HILL CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5961
Mailing Address - Country:US
Mailing Address - Phone:630-853-8448
Mailing Address - Fax:
Practice Address - Street 1:3039 TIMBER HILL CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5961
Practice Address - Country:US
Practice Address - Phone:630-853-8448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other