Christina Dolack LLC
Organization Active NPI Internal Medicine Physician · Seneca, IL
NPI 1023337482 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1023337482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036107487 (IL)
- Legal business name
- CHRISTINA DOLACK LLC
- Practice address
- 271 N Main St
Seneca, IL 61360-9323 - Phone
- (815) 357-8511
- Fax
- (815) 357-1238
- NPI assigned
- May 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Christina N Dolack, DO
- Title
- Owner
- Phone
- (815) 357-8511
National Provider Directory
Locations
271 N Main St
Seneca, IL 61360
Phone (815) 357-8511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036107487 | IL | Yes |
Addresses
Primary practice location
271 N Main St
Seneca, IL 61360-9323
Mailing address
271 N Main St
Seneca, IL 61360-9323
Phone (815) 357-8511
Other providers in Seneca, IL
- Melissa Brungard
- Melissa Rose Decker
- Jennifer Lynn Dickens
- Dana Duggins
- Ardelle Carlene Duttlinger
- Vicky Lynn Garrison
All providers in Seneca, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.