DR. DARA GRENNAN (NPI# 1518282938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518282938 |
| Entity Type | Individual |
| Full Name | DR. DARA GRENNAN |
| Practice Address |
403 E 1st St Dixon IL 61021 |
| Mailing Address |
680 N Lake Shore Dr Chicago IL 60611-4546 |
| Practice Telephone | 8152855629 |
| Practice Fax Number | 8152855634 |
| Mailing Telephone | 3129568686 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-137502 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-137502 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 36.137502 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 8153445 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400440732 | 01 |
| IL | 036137502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5121 S Cottonwood St, 3rd Floor, Salt Lake City, UT 841075701 | 8015074384 |
| Street Address |
403 E 1ST ST |
| City | DIXON |
| State | IL |
| Zip Code | 61021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1063029247 | Valarie Pfoutz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-30 |
| 1639786288 | Stephanie Marie Berlin | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1639786270 | Marissa Leigh Frost | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1588270797 | Tiffany L Hummel | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-22 |
| 1811513641 | Beth Barbara Reittinger | Podiatrist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-06-17 |
| 1205458528 | Andres David Arellano | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-05-08 |
| 1144856667 | Connor Skoumal | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-03-16 |
| 1760022180 | Chris A Herbert | Emergency Medicine | 403 E 1st St, Dixon, IL 61021-3187 | 2020-01-14 |
| 1508414756 | Ann C Lee | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237035 | Abdulhamid Alkhalaf | Internal Medicine | 215 E 1st St Ste 310, Dixon, IL 61021 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1972152874 | Amanda M Zimmermann | Internal Medicine | 1870 W Winchester Rd Ste 247, Libertyville, IL 60048-5360 | 2019-09-04 |
| 1992213896 | Jennifer Marie Bassler | Internal Medicine | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2018-01-14 |
| 1699201582 | Id Associates Limited | Internal Medicine | 5 Hunt Club Ln, Oak Brook, IL 60523-2328 | 2017-05-11 |
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1265859607 | Alessandra Anna Secco | Internal Medicine | 7900 N Milwaukee Ave Ste 231a, Niles, IL 60714-3247 | 2014-03-24 |
| 1275962672 | Saira Rashida Ajmal | Internal Medicine | 4440 W 95th St Ste 301, Oak Lawn, IL 60453 | 2013-11-06 |
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1871832428 | Harvey Kantor | Internal Medicine | 313 Whitmore Ln, Lake Forest, IL 60045-4707 | 2013-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.