Bolanos, Jose Thomas

Bolanos, Jose Thomas is an individual health care provider with primary practice located at 1555 Barrington Rd Dob 3, #4100, Hoffman Estates IL 60169-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bolanos, Jose Thomas can be contacted via phone (847) 781-1790.

Contact Information

Primary practice address
1555 Barrington Rd Dob 3, #4100 Hoffman Estates IL 60169-1019
Phone: (847) 781-1790
Fax: (847) 781-9973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-097424 Illinois

Profile Details

NPI number 1205818622
LBN Legal business name Bolanos, Jose Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Jan 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205818622 NPPES
Illinois MEDICAID 036097424

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