Bolotin, Diana
Bolotin, Diana is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Mc 5067, Chicago IL 60637-1447. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bolotin, Diana can be contacted via phone (773) 834-9821.Contact Information
Primary practice address
5841 S Maryland Ave Mc 5067
Chicago IL 60637-1447
Phone: (773) 834-9821
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036.125194 | Illinois |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036.125194 | Illinois |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036.125194 | Illinois |
Profile Details
NPI number | 1164746905 |
---|---|
LBN Legal business name | Bolotin, Diana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2010 |
Last updated | Mar 23rd, 2010 - about 15 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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