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Individual

DOROTHY BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5629
(815) 285-5634
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5629
(815) 285-5634

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036168665
IL

Other

Enumeration date
03/25/2021
Last updated
12/11/2025
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