Dr. Karen J Dyer
Pediatrician
1401 E State St
Rockford
, Illinois 61104-2315
Dr. Karen J Dyer
Pediatrician
1401 E State St
Rockford
, Illinois 61104-2315
(779) 696-7150
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Karen J Dyer
- Po Box 78866
- Milwaukee, WI
- Zip : 53278-8866
- Phone : (779) 696-7150
Second Address
- Dr. Karen J Dyer
- 1401 E State St
- Rockford, IL
- Zip : 61104-2315
- Phone : (779) 696-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036-147114 | IL |
| N | 208000000X | Pediatrician | 4301066862 | MI |
National Provider Identifier
| NPI | 1003854530 |
|---|---|
| Provider Name | Dr. Karen J Dyer |
| First Address | Milwaukee, WI 53278-8866 |
| Second Address | Rockford, IL 61104-2315 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 23/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F71635 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.