Organization
CHRISTINA DOLACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA N DOLACK DO (OWNER)
(815) 357-8511
Entity
Organization
Contact information
Practice address
271 N MAIN ST, SENECA, IL 61360-9323
(815) 357-8511
(815) 357-1238
Mailing address
271 N MAIN ST, SENECA, IL 61360-9323
(815) 357-8511
(815) 357-1238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036107487
IL
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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