OrganizationActive
Dolton Medical Associates
NPI 1609982990 · Health Maintenance Organization · Dolton, IL
Provider details
- NPI number
- 1609982990
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Evans Fiakpui, Medical Director(708) 841-1110
Specialties & taxonomies
Managed Care Organizations
Practice location
15437 Cottage Grove Ave
Dolton, IL 60419-2742
Phone: (708) 841-1110
Fax: (708) 841-8730
Approximate (ZIP-level) locationGet directions
Mailing address
15437 Cottage Grove Ave
Dolton, IL 60419-2742
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.