Individual
DIORELLA GULOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129072
IL
208M00000X
Hospitalist Physician
Primary
036129072
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036129072
ILLINOIS LICENSE
IL
Enumeration date
07/10/2009
Last updated
06/11/2024
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