Devara, Dolly D

Devara, Dolly D is an individual health care provider with primary practice located at 26W171 Roosevelt Rd , Wheaton IL 60187-6078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Devara, Dolly D can be contacted via phone (630) 909-7000.

Contact Information

Primary practice address
26W171 Roosevelt Rd Wheaton IL 60187-6078
Phone: (630) 909-7000
Fax: (630) 909-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036.112715 Illinois

Profile Details

NPI number 1912096108
LBN Legal business name Devara, Dolly D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912096108 NPPES
Illinois MEDICAID 036112715

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