Dirk Alan Denning, RSA
Individual provider Active NPI Case Manager/Care Coordinator · Waterloo, IL
NPI 1417626243 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1417626243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 988 N Illinois Route 3
Waterloo, IL 62298-1059 - Phone
- (618) 939-4444
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Mailing address
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone (618) 939-4444
Other providers in Waterloo, IL
- Rebecca L. Darding
- Deaconess Illinois Clinic, Inc
- Deaconess Illinois Specialty Clinic, Inc.
- Lynn M Dell
- Kelsey Deluca
- Kim Dieckmann
- Kerri Dockins-Hall
- Elizabeth Doerr
- Julie Anna Downs
- Dr Darryll L Beard DMD LTD
All providers in Waterloo, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. 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.