Individual provider · Type 1 NPI

Dawn Clarisse Tanner, PA-C

Physician Assistant · Peoria, IL

NPI number 1295898591 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61603-4307

Mailing address

21276 Network Pl
Chicago, IL 60673-1212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-002863 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295898591

Dawn Clarisse Tanner, PA-C's National Provider Identifier is 1295898591, issued on Dec 18, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 29, 2026.