Estrada-Garcia, Dolores A

Estrada-Garcia, Dolores A is an sole proprietor health care provider with primary practice located at 210 W. Mckinley Ave Suite 1, Decatur IL 62526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Estrada-Garcia, Dolores A can be contacted via phone (217) 876-6600.

Contact Information

Primary practice address
210 W. Mckinley Ave Suite 1 Decatur IL 62526
Phone: (217) 876-6600
Fax: (217) 876-6606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036105214 Illinois

Profile Details

NPI number 1316950033
LBN Legal business name Estrada-Garcia, Dolores A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated May 30th, 2024 - about last year

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 1316950033 NPPES
Illinois MEDICAID 036105214

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