Theresa Dolan
Nurse Practitioner - Family Medicine
5331 W 79th St
Burbank
, Illinois 60459-3500
Theresa Dolan
Nurse Practitioner - Family Medicine
5331 W 79th St
Burbank
, Illinois 60459-3500
(708) 921-0777
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Theresa Dolan
- 10408 Georgia Ln
- Oak Lawn, IL
- Zip : 60453-4635
- Phone : (708) 921-0777
Second Address
- Theresa Dolan
- 5331 W 79th St
- Burbank, IL
- Zip : 60459-3500
- Phone : (708) 422-8101
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209.012794 | IL |
National Provider Identifier
| NPI | 1003294620 |
|---|---|
| Provider Name | Theresa Dolan |
| First Address | Oak Lawn, IL 60453-4635 |
| Second Address | Burbank, IL 60459-3500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2015 |
| Last Update Date | 14/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.