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NPI Code Detail

MEDICARE: DR. JENNEE A ROMMEL M.D.

MEDICARE:  DR. JENNEE A ROMMEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician036.135589IL

General Provider Information

NPI Number : 1235365594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNEE A ROMMEL M.D.
Provider Business Mailing Address
First Line : 525 E CONGRESS PKWY
Second Line : SUITE 200
City : CRYSTAL LAKE
State : IL
Zip : 60014-6245
Country : US
Telephone Number : 847-381-8899
Fax Number : 847-381-8999
Provider Business Practice Location Address
First Line : 525 E CONGRESS PKWY
Second Line : SUITE 200
City : CRYSTAL LAKE
State : IL
Zip : 60014-6245
Country : US
Telephone Number : 847-381-8899
Fax Number : 847-381-8999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2009
Last Update Date : 12/15/2021

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Directions to “ DR. JENNEE A ROMMEL M.D.” Practice Location

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