Individual
DR. DOLLY D DEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6078
(630) 909-7000
(630) 909-7001
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6078
(630) 909-7000
(630) 909-7001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.112715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112715
—
IL
Enumeration date
10/12/2006
Last updated
02/08/2018
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