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ALISSA ZIMMERMAN BENNETT MD
NPI 1174878672
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since July 20, 2012

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alissa Zimmerman Bennett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA ZIMMERMAN BENNETT MD (NPI 1174878672) is an individual student in an organized health care education/training program in Peoria, Illinois, licensed in Illinois (125062318) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1174878672
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALISSA ZIMMERMAN BENNETTCredential: MD
Location Address815 MAIN STPeoria, IL 61602-1076
Mailing Address5100 Reliable PkwyChicago, IL 60686-0051 · (309) 672-4809
Phone(309) 672-4977
Sole ProprietorNo
Enumeration DateJuly 20, 2012
✔ NPI 1174878672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125062318
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
815 MAIN ST, Peoria, IL 61602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAH BOEHR MD
Family Medicine
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977
ADERONKE BEATRICE OLAOYE MD
Student in an Organized Health Care Education/Training Program
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4986
ANTONIA SALHAB MD
Student in an Organized Health Care Education/Training Program
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977
MRS. SHELBY LAINE FEHR APRN
Nurse Practitioner (Family)
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977
MARIAN PARR FNP
Nurse Practitioner (Family)
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977
ANNE PADWOJSKI APN
Nurse Practitioner
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. PALLAVI MURARI M.D
Family Medicine
815 MAIN ST, SUITE A
PEORIA, IL 61602
Peoria County (616) 307-7220
DARREN CONKLIN DO
Family Medicine
815 MAIN ST
PEORIA, IL 61602
Peoria County (309) 672-4977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alissa Zimmerman Bennett's NPI number?

The NPI number for Alissa Zimmerman Bennett is 1174878672. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Alissa Zimmerman Bennett located?

Alissa Zimmerman Bennett practices at 815 Main St, Peoria, IL 61602. The listed phone number is (309) 672-4977.

What is Alissa Zimmerman Bennett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alissa Zimmerman Bennett was last updated on July 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.