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Search › Illinois › 363A00000X

Marybeth Bolanowski, PA

NPI 1891781639 · on the registry since 2005

Practice

Address
1801 S Highland Ave Ste 220
Lombard, IL 60148
Phone
(630) 790-1872
Organisation at this address
Dupage Medical Group Ltd
Dupage Medical Group Ltd
Dupage Medical Group, Ltd.
Dupage Medical Group, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois