Most Relevant Information
Provider Data
NPI Number: | 1003294620 |
Provider Name: | THERESA DOLAN APN |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 209.012794 |
Most Important Dates
Enumeration Date: | 05/14/2015 |
Last Updated: | 06/23/2022 |
Provider Practice Location
1441 BRANDING AVE STE 310
DOWNERS GROVE
IL
605155624
Practice Location Phone/Fax
Phone: | 6308291038 |
Fax: | 6308291080 |
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
Phone: | 8473905900 |
Fax: |