| Doctor Name: | DENA LYNN KOMMER |
| NPI Number: | 1174813240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209008759 |
| Business Practice Address: | 500 Lincoln Drive Suite D Herrin, IL - 62948 |
| Business Phone Number: | 6189933817 |
| Business Fax Number: | 6189933908 |
| Mailing Address: | 500 Lincoln Dr, Suite D HERRIN |
| State: | IL |
| Postal Code: | 629486354 |
| Phone Number: | 6189933817 |
| Fax Number: | 6189933908 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 209008759 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |