Organization
ROMAN J. DYKUN, MD
Active
Other names
Affiliated Ear, Nose and Throat Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MILLER (BILLING MANAGER)
(815) 338-4600
Entity
Organization
Contact information
Practice address
2441 LAKE SHORE DR, WOODSTOCK, IL 60098-6911
(815) 338-4600
(815) 338-4611
Mailing address
2441 LAKE SHORE DR, WOODSTOCK, IL 60098-6911
(815) 338-4600
(815) 338-4611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05620247
BCBS
IL
01
—
5632066
BC/BS
IL
Enumeration date
10/10/2006
Last updated
06/21/2018
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