Jennifer Dimond, MD

Internal Medicine in Lake Forest, IL. Individual provider (NPI-1).

NPI number1669932737

StatusActive

Last updated in NPPESFeb 3, 2023

Details

NPI: 1669932737
Entity type: Individual (NPI-1)
Name: Jennifer Dimond
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 23, 2019
Certification date: Feb 3, 2023
Last updated: Feb 3, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	036162764	IL	Yes

Practice location

915 S Waukegan Rd
Lake Forest, IL 60045-2654

Phone 847-234-8866 · Fax 847-234-4682

Mailing address

915 S Waukegan Rd
Lake Forest, IL 60045-2654

Phone 847-234-8866 · Fax 847-234-4682

Other practice locations

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone 908-522-2000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Lake Forest, IL

All 34 Internal Medicine Physician providers in Lake Forest · All 978 providers in Lake Forest

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