Active NPI
Daniel Paul Dennison, M.D.
- Internal Medicine Physician
- Elmhurst, IL
National Provider Identifier
1679796668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Practice address
- 200 N Berteau Ave
(Elmhurst Memorial Hospital)
Elmhurst, IL 60126-2966 - Phone
- (630) 833-1400
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
200 N Berteau Ave
(Elmhurst Memorial Hospital)
Elmhurst, IL 60126-2966
Mailing address
6340 Americana Dr
#104
Willowbrook, IL 60527-2255
Phone (630) 986-8148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336-029951 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679796668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6340 AMERICANA DR",
"address_2": "#104",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272255",
"telephone_number": "630-986-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BERTEAU AVE",
"address_2": "(ELMHURST MEMORIAL HOSPITAL)",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262966",
"telephone_number": "630-833-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.