Individual
DR. MARK STEPHEN DOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 W WALNUT, PASSAVANT AREA HOSPITAL - LABORATORY, JACKSONVILLE, IL 62650
(217) 245-9541
(217) 479-5648
Mailing address
7433 N 5TH ST, MCALLEN, IL 68504
(956) 410-9071
(956) 410-9071
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036094413
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360944131
—
IL
Enumeration date
08/01/2006
Last updated
06/06/2025
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