Dolar R Koya MD Sc

NPI #1417105917 in Cresthill, Illinois

Provider Information

NPI Number: 1417105917
Entity Type: Organization
Organization Name: Dolar R Koya MD Sc
Subpart: Yes (part of a larger organization)
Parent Organization: DOLAR R KOYA MD SC
Primary Specialty: Dermatology
Enumeration Date: Sep 9, 2008
Last Updated: May 19, 2010

Practice Location

Address: 2215 THEODORE ST
City: Cresthill
State: Illinois
ZIP Code: 60403
Phone: (815) 741-2000

Authorized Official

Name: DOLAR R KOYA, MD
Title: OWNER
Phone: (815) 741-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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