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Alyssa Joy Bolduan
Student in an Organized Health Care Education/Training Program in Geneva, Illinois
NPI 1336535657

Alyssa Joy Bolduan is a Student in an Organized Health Care Education/Training Program based in Geneva, IL. Alyssa Joy Bolduan practices in Geneva, IL. The NPI Number for Alyssa Joy Bolduan is 1336535657 and holds a License No. 60967 (Illinois).

The current practice location address for Alyssa Joy Bolduan is 302 Randall Rd Ste 202, Geneva, IL and can be reached out via phone at 630-938-3900 and via fax at 630-938-3910.

Location: 302 Randall Rd Ste 202, Geneva, IL, 60134-4204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336535657
Provider Name
Alyssa Joy Bolduan
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 Randall Rd Ste 202, Geneva, IL, 60134-4204
Phone Number
630-938-3900
Fax Number
630-938-3910
Provider Enumeration Date
04/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
302 Randall Rd Ste 202
City
Geneva
State
Illinois
Zip
60134-4204
Phone Number
630-938-3900
Fax Number
630-938-3910
person
Provider Business Mailing Address Details
Address
302 Randall Rd Ste 202
City
Geneva
State
Illinois
Zip
60134-4204
Phone Number
630-938-3900
Fax Number
630-938-3910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
036156561 (Illinois)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60967 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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