MRS. HOLLY KOREN DINELLO NP-C
NPI 1548808959
Nurse Practitioner - Family in Bradley, IL

Q: What is Holly Dinello's NPI number?

The NPI number for Holly Dinello is 1548808959. It was assigned to this individual provider in the NPPES registry on December 16, 2019. The provider is also known as Miss Holly Koren Elleson.

Q: What is Holly Dinello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Dinello was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2019

990 N KINZIE AVE, BRADLEY, IL 60915(815) 933-2589(815) 634-5253 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Feb 5, 2020, Dec 16, 2019 (3 updates tracked since 2019).

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About Mrs. Holly Koren Dinello Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY KOREN DINELLO NP-C (NPI 1548808959) is an individual family provider in Bradley, Illinois, licensed in Illinois (209020416) and active in the NPI registry since December 2019. She maintains 7 additional practice locations.

NPPES Registry Identity

NPI1548808959

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. HOLLY KOREN DINELLOCredential: NP-C

Location Address990 N KINZIE AVEBradley, IL 60915-1233

Mailing Address990 N Kinzie AveBradley, IL 60915-1233 · (815) 933-2589 · Fax (815) 634-5253

Phone(815) 933-2589

Fax(815) 634-5253

Sole ProprietorNo

Enumeration DateDecember 16, 2019

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1548808959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209020416

990 N KINZIE AVE, Bradley, IL 60915

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Other Names 1

Former Name (1)Miss Holly Koren Elleson

Secondary Practice Locations 7

Location 11490 E Walnut St Ste AWatseka, IL 60970-1806 · Phone (815) 432-7693 · Fax (815) 936-7228

Location 225711 S Egyptian TrlMonee, IL 60449-8118 · Phone (708) 534-7523 · Fax (708) 534-7657

Location 3395 N Locust StManteno, IL 60950-1222 · Phone (815) 468-6870 · Fax (815) 468-8304

Location 4720B S Crescent StGilman, IL 60938-1518 · Phone (815) 265-4255 · Fax (815) 265-4257

Location 523120 S LaGrange RdFrankfort, IL 60423-7760 · Phone (815) 464-5440 · Fax (815) 936-5404

Location 65775 E State Route 113Coal City, IL 60416-7111 · Phone (815) 634-0100 · Fax (815) 634-2900

Location 7380 W North StManhattan, IL 60442-9839 · Phone (815) 478-4975 · Fax (815) 936-9203

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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