Marybeth Bolanowski in Lombard - Surgical

Marybeth Bolanowski - NPI 1891781639

Marybeth Bolanowski is a Surgical in Lombard, Illinois. Marybeth Bolanowski practices all healthcare services and medical treatments related to Surgical. The NPI Number for Marybeth Bolanowski is 1891781639. The last update date is 2023-06-27.

Marybeth Bolanowski's current location address is 1801 S Highland Ave Ste 220, Lombard, Illinois. You can contact this provider via phone number 6307901872. The mailing address for Marybeth Bolanowski is 1801 S Highland Ave Ste 220, Lombard, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Marybeth Bolanowski
Address 1801 S Highland Ave Ste 220, Lombard, Illinois
Phone Number 6307901872
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1891781639
Provider Enumeration Date 2005-09-27
Last Updated Date 2023-06-27

Provider Mailing Address Detail

Address 1801 S Highland Ave Ste 220
City Lombard
State Illinois (IL)
Post Code 601484932
Phone Number 6307901872
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 85001424
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970023229 IL RAILROAD MEDICARE
85001424 IL --

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FAQs about Marybeth Bolanowski

What is the Marybeth Bolanowski's 1891781639?

The Marybeth Bolanowski's NPI (National Provider Identifier) Number is 1891781639. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Marybeth Bolanowski's facilities are situated?

The facilities of Marybeth Bolanowski are physically located at the following address: 1801 S Highland Ave Ste 220, Lombard, IL, 601484932.

What is the area of specialization for Marybeth Bolanowski, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marybeth Bolanowski is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891781639 to Marybeth Bolanowski?

The Marybeth Bolanowski received its 1891781639 assignment from the Centers for Medicare & Medicaid Services on 2005-09-27.

When was the information regarding Marybeth Bolanowski, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Marybeth Bolanowski, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-27.

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