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NPI Code Detail

MEDICARE: DAWN SCHENONE MSACN, CNS, LDN

MEDICARE: DAWN SCHENONE MSACN, CNS, LDN
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
1133N00000XNutritionist164.007814IL
2133N00000XNutritionist

General Provider Information

NPI Number : 1841790045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN SCHENONE MSACN, CNS, LDN
Provider Business Mailing Address
First Line : 1162 SHORELINE DR
Second Line :
City : PINGREE GROVE
State : IL
Zip : 60140-2017
Country : US
Telephone Number : 847-687-3774
Fax Number :
Provider Business Practice Location Address
First Line : 1162 SHORELINE DR
Second Line :
City : PINGREE GROVE
State : IL
Zip : 60140-2017
Country : US
Telephone Number : 224-242-2587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2018
Last Update Date : 04/07/2026

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