IndividualActive
Jerome Donnelly, DO
NPI 1578616819 · Geriatric Medicine (Family Medicine) Physician · Western Springs, IL
Provider details
- NPI number
- 1578616819
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036075925 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
608 Hillgrove Ave
Western Springs, IL 60558-1476
Phone: (630) 800-5646
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 900
La Grange, IL 60525-0900
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2014-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.