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Contact Information

DARA GRENNAN
403 E 1ST ST
DIXON, IL61021
 Phone: 815-285-5629
 Fax: 815-285-5634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DARA GRENNAN · (Female)

NPI # 1518282938
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2010
Last updated 04/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-137502
  • IL License # 36.137502
  • UT License # 8153445
  • IL Medicaid 036137502
  • IL Other F400440732 MEDICARE PTAN
Hospital affiliation(s)
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
  • LAKE FOREST HOSPITAL - (Acute Care)
    660 N WESTMORELAND ROAD
    LAKE FOREST, IL 60045
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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