Individual
DR. DENNIS D PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-9450
(309) 582-3735
Mailing address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-9450
(309) 582-3735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036053144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006627828
BC BS IL PROVIDER NUMBER
IL
05
—
036053144
—
IL
01
—
K47031
MEDICARE PTAN
IL
Enumeration date
01/23/2007
Last updated
06/03/2021
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