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Contact Information

JENNA B DIONISIO, DO
1000 W HARLEM AVE
MONMOUTH, IL61462
 Phone: 309-734-1414
 Fax: 309-734-0323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNA B DIONISIO · (Female)

NPI Number 1659831998
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/22/2019
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036172909
  • IL Medicaid 1659831998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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