Christopher M Dolak, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209-031384 Issued in IL

Practice address

2501 Chatham Rd Ste N
Springfield, IL 62704-4188

Phone

(815) 781-2608

NPI assigned

Jan 9, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beyond Wound Care IncGroup PAC ID 2365970092, 10 clinicians

Illinois Wound Care Centers LLCGroup PAC ID 6800280165, 3 clinicians

Vital Care Wound Solutions CoGroup PAC ID 8022523463, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beyond Wound Care Inc

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1265263677
  Medicare reassignment Care Compare group NPD
• Illinois Wound Care Centers LLC

  • Wound Care Registered Nurse
  • Belvidere, IL
  • NPI 1255912341
  Medicare reassignment Care Compare group NPD
• Vital Care Wound Solutions Co

  • Clinic/Center
  • Schaumburg, IL
  • NPI 1992507032
  Medicare reassignment Care Compare group NPD
• Visiting Medical Physicians Inc

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
  • NPI 1699586909
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1073323200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W HOLLOW ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600517545",
            "telephone_number": "224-650-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE N",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "815-781-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-031384",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209-031384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Dockter, DT
• Katherine Docter, SSP, BCBA
• Diane Dodd, PTA
• Sierra Lee Dodd
• Lesleigh Doebler
• Michael Allan Dolan, R.PH.
• Sheri Dolan
• Virginia M Dolan, M.D.
• Elizabeth Dold
• Lisa R Dollus, RPH

• Adult Health Nurse Practitioner in Springfield, IL
• Providers in Springfield, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.