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Contact Information

DARA A WILCZYNSKI, DO
2701 17TH ST
ROCK ISLAND, IL61201
 Phone: 309-779-2031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DARA A WILCZYNSKI · (Female)

NPI Number 1891180154
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/03/2015
Last updated 04/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # DO-05341
  • IL License # 036148462
Hospital affiliation(s) Not Available
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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