Bolanos, Luis A

Bolanos, Luis A is an individual health care provider with primary practice located at 2121 Ridge Ave Suite 101, Aurora IL 60504-7000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bolanos, Luis A can be contacted via phone (630) 820-7100.

Contact Information

Primary practice address
2121 Ridge Ave Suite 101 Aurora IL 60504-7000
Phone: (630) 820-7100
Fax: (630) 264-2524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090032 Illinois

Profile Details

NPI number 1285687673
LBN Legal business name Bolanos, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 27th, 2019 - about 5 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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