Doctor profile · Federal record
Dr. Jonathan Phen
Dentist · East Peoria, IL
- NPI 1093400160
- 3 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
502 Riverside Dr
East Peoria, IL 616112068
(309) 606-5008 - Mailing address
-
2121 45Th St Apt 2322
Highland, IN 463220006
Credentials & registration
- NPI registered
- April 2023 — 3 yrs on file
- Profile last updated
- April 10, 2023
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019034133
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093400160. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $16.82 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
41
Total drug cost
$130
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 29 | 22 | $67 |
| Amoxicillin | Generic | 23 | 19 | $63 |
Frequently asked questions
What is Dr. Jonathan Phen's medical specialty?
Dr. Jonathan Phen practices Dentist in East Peoria, IL.
Where does Dr. Jonathan Phen practice?
Dr. Jonathan Phen practices at 502 Riverside Dr, East Peoria, IL 616112068. Office phone: 3096065008.
What is Dr. Jonathan Phen's NPI?
Dr. Jonathan Phen's National Provider Identifier (NPI) is 1093400160, issued by NPPES.