Search › Illinois › 207W00000X
Edward Dolezal, MD
NPI 1821045782 · on the registry since 2006 · sole proprietor
Practice
- Address
- 280 A Memorial Court
Crystal Lake, IL 60014 - Phone
- (815) 455-4222
- Fax
- (815) 455-5093
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois