Dolan, James R.

Dolan, James R. is an individual health care provider with primary practice located at 1700 Luther Ln , Park Ridge IL 60068-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Dolan, James R. can be contacted via phone (847) 723-8180.

Contact Information

Primary practice address
1700 Luther Ln Park Ridge IL 60068-1270
Phone: (847) 723-8180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 362169147 Illinois

Profile Details

NPI number 1013017946
LBN Legal business name Dolan, James R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Nov 30th, 2011 - about 14 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 1013017946 NPPES
Illinois MEDICAID 036070164

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