Christina Dolack Llc | |
271 N Main St Seneca IL 61360-9323 | |
(815) 357-8511 | |
(815) 357-1238 |
Full Name | Christina Dolack Llc |
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Speciality | Internal Medicine |
Location | 271 N Main St, Seneca, Illinois |
Authorized Official Name and Position | Christina N Dolack (OWNER) |
Authorized Official Contact | 8153578511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Christina Dolack Llc 271 N Main St Seneca IL 61360-9323 Ph: (815) 357-8511 | Christina Dolack Llc 271 N Main St Seneca IL 61360-9323 Ph: (815) 357-8511 |
NPI Number | 1023337482 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 05/25/2010 |
Identifier | Type | State | Issuer |
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1023337482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036107487 (Illinois) | Primary |