Individual
MR. CHRISTOPHER M DOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(815) 781-2608
Mailing address
1721 W HOLLOW ST, MCHENRY, IL 60051-7545
(224) 650-9237
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-031384
IL
363LG0600X
Gerontology Nurse Practitioner
209-031384
IL
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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