Individual
DR. ROMAN J DYKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2441 LAKE SHORE DRIVE, WOODSTOCK, IL 60098
(815) 338-4600
(815) 338-4611
Mailing address
2441 LAKE SHORE DRIVE, WOODSTOCK, IL 60098
(815) 338-4600
(815) 338-4611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036063771
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063771
—
IL
Enumeration date
09/19/2006
Last updated
05/09/2012
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