Individual
DR. KIEYA C DUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-2560
(708) 684-4932
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-115512
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115512 1
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00374099
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
04/03/2025
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