Provider Demographics
NPI:1740995554
Name:DELANO, SERONDA (RN)
Entity type:Individual
Prefix:
First Name:SERONDA
Middle Name:
Last Name:DELANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2662 LUNDQUIST DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-3653
Mailing Address - Country:US
Mailing Address - Phone:773-320-2542
Mailing Address - Fax:
Practice Address - Street 1:2662 LUNDQUIST DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-3653
Practice Address - Country:US
Practice Address - Phone:773-320-2542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041363067163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management