Healthcare Provider Details

I. General information

NPI: 1649682543
Provider Name (Legal Business Name): KATARINA BODNAR DAKAY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 DEMPSTER ST STE 625
PARK RIDGE IL
60068-1137
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-723-4088
  • Fax: 847-627-8700
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036-157879
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: