Jenna Dornak
NPI #1124582523 in Belleville, Illinois
Provider Information
- NPI Number
- 1124582523
- Entity Type
- Individual
- Name
- Jenna Dornak
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Dec 29, 2021
Practice Location
- Address
- 4500 MEMORIAL DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 233-7750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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