John Bolden JR. M.D.

NPI 1073666707 - Internal Medicine - 207RI0200X

NPI Details
NPI 1073666707
Gender Male
Enumeration Date 01/18/2007
Last Updated 11/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
MORRIS IL, 60450-1422, US
Phone (708) 349-0055
Business Location
10660 W 143RD ST STE B
ORLAND PARK IL, 60462-1989, US
Phone (708) 349-0055
Fax (708) 460-8031
Taxonomy Code 207RI0200X
License State
License Number
Remove 1073666707 NPI Number

According to our database, Dr. John Bolden JR. M.D. NPI is 1073666707, taxonomy code is 207RI0200X John Bolden JR. M.D. physically located at 114 W Waverly St, Morris IL, 60450-1422. NPI Number John Bolden JR. M.D. has the Individual type.

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1073666707 NPI number is provided on an as is basis without warranty of any kind. 1073666707 is maintained by the National Plan & Provider Enumeration System. The contents of John Bolden JR. M.D. are for informational purposes only.