Individual
JOHN P DIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 W KENWOOD AVE, DECATUR, IL 62526-4371
(217) 528-7541
(217) 428-7665
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110562
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110562
—
IL
Enumeration date
10/02/2006
Last updated
06/25/2025
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