Provider Demographics
NPI:1013734755
Name:DANILEVICH, ILONA N
Entity type:Individual
Prefix:
First Name:ILONA
Middle Name:N
Last Name:DANILEVICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27962 HILLIARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3034
Mailing Address - Country:US
Mailing Address - Phone:206-280-3673
Mailing Address - Fax:
Practice Address - Street 1:1349 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3127
Practice Address - Country:US
Practice Address - Phone:206-280-3673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide