Provider Demographics
NPI:1841790045
Name:SCHENONE, DAWN (MSACN, CNS, LDN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:SCHENONE
Suffix:
Gender:F
Credentials:MSACN, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S RANDALL RD UNIT 5762
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60121-2729
Mailing Address - Country:US
Mailing Address - Phone:224-242-2587
Mailing Address - Fax:
Practice Address - Street 1:1162 SHORELINE DR
Practice Address - Street 2:
Practice Address - City:PINGREE GROVE
Practice Address - State:IL
Practice Address - Zip Code:60140-2017
Practice Address - Country:US
Practice Address - Phone:224-242-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-15
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
IL164.007814133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist