# DIANA I DOLL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942263405
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 036-085495 | IL | — |
| 207Q00000X | Family Medicine Physician | 036085495 | IL | — |
| 207Q00000X | Family Medicine Physician | 28206 | MT | Yes |

## Other

- **Enumeration date:** 04/07/2006
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036085495 | — | IL |
| 05 | — | 036085495-1 | — | IL |
| 05 | — | 1942263405 | — | IL |
| 01 | — | 36085495 | BCBS | IL |
| 01 | — | P00219477 | RAILROAD MEDICARE | IL |