Provider Demographics
NPI:1942429535
Name:DELROSARIO, JERRY D SR (RRT)
Entity Type:Individual
Prefix:MR
First Name:JERRY
Middle Name:D
Last Name:DELROSARIO
Suffix:SR
Gender:M
Credentials:RRT
Other - Prefix:MR
Other - First Name:JERRY
Other - Middle Name:D
Other - Last Name:DEL ROSARIO
Other - Suffix:SR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:306 79TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2404
Mailing Address - Country:US
Mailing Address - Phone:630-325-2931
Mailing Address - Fax:630-455-1307
Practice Address - Street 1:306 79TH ST
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2404
Practice Address - Country:US
Practice Address - Phone:630-325-2931
Practice Address - Fax:630-455-1307
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist