Individual
JOHN C DANNENFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 ILLINI DR, STE 300, SILVIS, IL 61282-2904
(309) 281-2090
(309) 281-2099
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020348
HEALTH ALLIANCE
—
05
—
036059049
—
IL
01
—
20127
IOWA HEALTH SOLUTIONS
—
01
—
4796890014
DMERC
—
01
—
97788
WELLMARK BC/BS
IA
01
—
97835
WELLMARK BC/BS
IA
01
—
IL0120
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/16/2005
Last updated
04/13/2021
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