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Contact Information

EDWARD G DOLEZAL, MD
280 A MEMORIAL COURT
CRYSTAL LAKE, IL60014-6233
 Phone: 815-455-4222
 Fax: 815-455-5093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EDWARD G DOLEZAL · (Male)

NPI Number 1821045782
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-070162
  • IL License # 036070162
  • IL Medicaid 036070162
  • Other 180038854 RAIL ROAD MEDICARE
  • IL Other 05625795 BCBS IL
Hospital affiliation(s)
  • ADVOCATE GOOD SHEPHERD HOSPITAL - (Acute Care)
    450 WEST HIGHWAY 22
    BARRINGTON, IL 60010
  • SHERMAN HOSPITAL - (Acute Care)
    1425 NORTH RANDALL ROAD
    ELGIN, IL 60123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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