Individual
ANDREA DOCKRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE L200, DAYTON, OH 45409-2939
(937) 208-2020
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036.155922
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.139900
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-155922
LICENSE
IL
Enumeration date
04/02/2017
Last updated
09/14/2023
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