Organization
DOLAR R KOYA MD SC
Active
Parent organization
DOLAR R KOYA MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOLAR R KOYA MD SC
Authorized official
DOLAR R KOYA MD (OWNER)
(815) 741-2000
Entity
Organization
Contact information
Practice address
2215 THEODORE ST, CRESTHILL, IL 60403
(815) 741-2000
(815) 741-1001
Mailing address
2215 THEODORE ST, CREST HILL, IL 60403-5854
(815) 741-2000
(815) 741-1001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036055698
IL
Other
Enumeration date
09/09/2008
Last updated
05/19/2010
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