Provider Demographics
NPI:1942092796
Name:DILEO, CHERILYN VICTORIA
Entity type:Individual
Prefix:
First Name:CHERILYN
Middle Name:VICTORIA
Last Name:DILEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 8TH AVE W APT 121-1
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-3462
Mailing Address - Country:US
Mailing Address - Phone:701-651-1635
Mailing Address - Fax:701-651-1635
Practice Address - Street 1:1801 8TH AVE W APT 115-1
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-3463
Practice Address - Country:US
Practice Address - Phone:701-651-1635
Practice Address - Fax:701-651-1635
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator