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Individual

COLLIN RICHARD DOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1137 N EOLA RD, SUITE 101, AURORA, IL 60502-7096
(630) 236-3090
(630) 236-3092
Mailing address
1137 N EOLA RD, SUITE 101, AURORA, IL 60502-7096
(630) 236-3090
(630) 236-3092

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011016
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2233886
BC/BS
IL
Enumeration date
09/11/2007
Last updated
04/20/2015
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