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General NPI Number Information
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NPI Number | 1992098735
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Entity Type | Individual
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Provider Name | CONOR PATRICK DOLEHIDE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1851 SILVER CROSS BLVD STE 150
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City | NEW LENOX
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State | IL
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Zip | 60451-9629
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Country | US
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Telephone | 815-215-8292
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Fax | 815-215-8289
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Provider Business Mailing Address
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Address Line | 1851 SILVER CROSS BLVD STE 150
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City | NEW LENOX
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State | IL
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Zip | 60451-9629
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Country | US
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Telephone | 815-215-8292
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Fax | 815-215-8289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME123479
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 036135853
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125:059285
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 036135853
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036135853
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License Number State | IL
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