RENEE J DAHM NP NPI 1811302409

NPI Information

NPI: 1811302409
Provider Name: RENEE J DAHM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ROCKFORD HEALTH PHYSICIANS

PECOS Registration: Yes

Address:
2300 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-2000
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Renee J Dahm, NP is a family nurse practitioner in Rockford, IL with 10 years of experience. Renee J Dahm, NP NPI is 1811302409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103-619
Phone: (815) 971-2000
Fax: (815) 971-9162

The NPI 1811302409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 3/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041-328608	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209-011916	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811302409	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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