DOLORES A ESTRADA


Address: 210 W. Mckinley Ave, Suite 1, Decatur, IL 62526
Phone: 2178766600

DOLORES A ESTRADA (NPI# 1316950033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316950033
Entity Type Individual
Full Name DOLORES A ESTRADA
Other Name DOLORES AQUINO ESTRADA
Credential MD
Practice Address 210 W. Mckinley Ave
Suite 1
Decatur
IL 62526
Practice Telephone 2178766600
Practice Fax Number 2178766606
Mailing Telephone 2178766600
Mailing Fax Number 2178766606
Enumeration Date 2006-08-14
Last Update Date 2014-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
IL-036 105214 IL Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
036105214 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036105214 05

Other Providers DOLORES ESTRADA

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1003088204 Dolores Estrada Counselor 6736 Laurel Canyon Blvd, North Hollywood, CA 91606-1538 2008-03-27
1518098581 Dolores V. Estrada Counselor 1540 E 1st St Ste 100, Santa Ana, CA 92701-6326 2007-03-08

Office Location

Street Address 210 W. MCKINLEY AVE
SUITE 1
City DECATUR
State IL
Zip Code 62526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992774459 James L Wade IIi Internal Medicine 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 2006-03-16
1366467755 Kristi M Toennies Nurse Practitioner 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 2006-07-13
1790748119 Edward C Elliott II Internal Medicine 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 2006-04-07
1700846664 Mary Anne Depaz Radiology 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 2006-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578755815 Oncology Specialties, PC Internal Medicine 310 8th Ave Se, Decatur, AL 35601 2007-08-10
1134291792 Southeast Cancer Network, Inc. Internal Medicine 1107 14th Ave Se Ste 200, Decatur, AL 35601-3354 2006-11-15
1497726137 Sammy F Becdach Internal Medicine 1107 14th Ave Se, Plaza II Suite 200, Decatur, AL 35601-3309 2006-01-31
1063412567 Aaron R Alizadeh Internal Medicine 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 2005-07-26
1669762795 Vijay Kumar Damarla Internal Medicine 210 W Mckinley Ave Ste 1, Decatur, IL 62526 2011-04-11
1053571091 Dallas Oncology Consultants Pa Internal Medicine 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 2008-06-12
1447437538 Ana Gabriela Antun Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2008-01-30
1770769234 Simbo Oluwabusuyi Aduloju Internal Medicine 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 2008-01-15
1396876835 Badi El Osta Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2007-03-08
1366549735 Neelima Maddukuri Internal Medicine 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 2006-09-20
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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