Search › Illinois › 207R00000X
Mameyan Donzo, MD
NPI 1548721756 · on the registry since 2019
Practice
- Address
- 403 E 1st St
Dixon, IL 61021 - Phone
- (815) 285-5629
- Fax
- (815) 285-5634
- Organisation at this address
- Osf Healthcare System
Osf Healthcare System
Ksb Medical Group, Inc.
Katherine Shaw Bethea Hospital
Katherine Shaw Bethea HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Additional practice sites
- 9050 Cypress Green Dr Ste 104, Jacksonville, FL
- 820 Prudential Dr Ste 304, Jacksonville, FL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois