Diann D Bennett, MD
Individual provider Active NPI Internal Medicine Physician · Freeport, IL
NPI 1326010083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326010083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Practice address
- 25 N Harlem Ave
Freeport, IL 61032-3801 - Phone
- (815) 599-6000
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107289 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Yes |
Addresses
Primary practice location
25 N Harlem Ave
Freeport, IL 61032-3801
Mailing address
421 W Exchange St
PO Box 268
Freeport, IL 61032-4030
Other providers in Freeport, IL
- Megan June Bauer
- Cynthia Lynn Baxter
- Natalie Beck
- Believe in the Children
- Brian Thomas Bennett
- Amber Ruth Benson
- Celina Benson
- Joshua Berven
- Gary Alan Besley
- Molly Rose Bilich
All providers in Freeport, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.