DR. DARA GRENNAN NPI 1518282938

NPI Information

NPI: 1518282938
Provider Name: DR. DARA GRENNAN
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
403 E 1ST ST
DIXON, IL
ZIP 61021
Phone: (815) 285-5629
Get Directions

DR. Dara Grennan is an infectious disease internal medicine in Dixon, IL with 17 years of experience. The provider is 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. DR. Dara Grennan NPI is 1518282938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

403 E 1ST ST
DIXON, IL
ZIP 61021
Phone: (815) 285-5629
Fax: (815) 285-5634

The NPI 1518282938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 4/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036-137502	ILLINOIS	No
2	207RI0200X	Internal Medicine	Infectious Disease	036-137502	ILLINOIS	Yes
3	208M00000X	Hospitalist		36.137502	ILLINOIS	No
4	208M00000X	Hospitalist		8153445	UTAH	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036137502	MEDICAID	ILLINOIS
2	F400440732	OTHER	ILLINOIS	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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