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Bolingbrook Pediatrics, Sc
Primary Care Clinic/Center in Bolingbrook, Illinois
NPI 1073794756

Bolingbrook Pediatrics, Sc is a Primary Care Clinic/Center based in Bolingbrook, IL and is specialized in Primary Care. Bolingbrook Pediatrics, Sc practices in Bolingbrook, IL. The NPI Number for Bolingbrook Pediatrics, Sc is 1073794756 and holds a License No. 036090470 (Illinois).

The current practice location address for Bolingbrook Pediatrics, Sc is 439 W Boughton Rd, Bolingbrook, IL and can be reached out via phone at 630-759-5000 and via fax at 630-759-4567.

Location: 439 W Boughton Rd, Bolingbrook, IL, 60440-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073794756
Provider Name
Bolingbrook Pediatrics, Sc
Credential
Provider Entity Type
Organization
Address
439 W Boughton Rd, Bolingbrook, IL, 60440-1821
Phone Number
630-759-5000
Fax Number
630-759-4567
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036090470 05 IL
institution
Provider Business Practice Location Address Details
Address
439 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1821
Phone Number
630-759-5000
Fax Number
630-759-4567
person
Provider Business Mailing Address Details
Address
439 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1821
Phone Number
630-759-5000
Fax Number
630-759-4567
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036090470 (Illinois)
Definition
Definition to come...
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