Christina Dolack LLC
Internal Medicine in Seneca, IL. Organization (NPI-2).
NPI number1023337482
StatusActive
Last updated in NPPESMay 25, 2010
Details
- NPI
- 1023337482
- Entity type
- Organization (NPI-2)
- Legal business name
- Christina Dolack LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2010
- Last updated
- May 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036107487 | IL | Yes |
Practice location
271 N Main StSeneca, IL 61360-9323
Phone 815-357-8511 · Fax 815-357-1238
Mailing address
271 N Main StSeneca, IL 61360-9323
Phone 815-357-8511 · Fax 815-357-1238
Authorized official
Christina N Dolack
Owner
8153578511
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.