Provider Demographics
NPI:1508071010
Name:DULANAS, VIOLETA P (MD)
Entity Type:Individual
Prefix:MS
First Name:VIOLETA
Middle Name:P
Last Name:DULANAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 N OCONTO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-3509
Mailing Address - Country:US
Mailing Address - Phone:773-589-9295
Mailing Address - Fax:
Practice Address - Street 1:4958 W MADISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644-3541
Practice Address - Country:US
Practice Address - Phone:312-746-4870
Practice Address - Fax:312-746-4637
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine