Individual provider · Type 1 NPI

Christopher M. Dolak, AGNP-C

Adult Health Nurse Practitioner · Springfield, IL

NPI number 1073323200 Active

Practice location

2501 Chatham Rd Ste N
Springfield, IL 62704-4188

Call (815) 781-2608 Map

Mailing address

1721 W Hollow St
Mchenry, IL 60051-7545

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	209-031384 (IL)
Gerontology Nurse Practitioner	363LG0600X	209-031384 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073323200

Christopher M. Dolak, AGNP-C's National Provider Identifier is 1073323200, issued on Jan 9, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Springfield, IL. The record was last updated on Jan 9, 2025.