Rudolph Frank Dolezal, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036-051849 Issued in IL

Practice address

605 W Central Rd
Suite 205
Arlington Heights, IL 60005-2377

Phone

(847) 398-8844

Fax

(847) 398-8880

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104841410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-398-8844",
            "fax_number": "847-398-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-398-8844",
            "fax_number": "847-398-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "RUDOLPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-051849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV.#",
            "identifier": "490 1127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Robin Dixon-Fyle, L.C.S.W
• Brian Doane, MD
• David Saul Dobkin, MD
• Doc V'S Chiropractic LLC
• Peter A Dodzik, PSY.D.
• Jessica Ann Dolniak, APRN, FNP-C
• Dolomite Child & Adult Psychiatry PLLC
• Adrianna T Domanico Jalovec, LCSW, MBA, PMH-C
• Alejandra Dominguez Sanchez
• Virginia Dominguez-Matsumoto, D.D.S.

• Plastic Surgery Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.