| Christina Dolack Llc | |
|
271 N Main St Seneca IL 61360-9323 | |
| (815) 357-8511 | |
| (815) 357-1238 |
| Full Name | Christina Dolack Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023337482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036107487 (Illinois) | Primary |