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Michelle Bolano, DPT
Student in an Organized Health Care Education/Training Program in Libertyville, Illinois
NPI 1750580049

Michelle Bolano is a Student in an Organized Health Care Education/Training Program based in Evanston, IL. Michelle Bolano practices in Libertyville, IL and has the professional credentials of DPT. The NPI Number for Michelle Bolano is 1750580049 and holds a License No. (Illinois).

The current practice location address for Michelle Bolano is 1800 Hollister Dr, Libertyville, IL and can be reached out via phone at 847-918-7947.

Location: 1800 Hollister Dr, Libertyville, IL, 60202-3119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750580049
Provider Name
Michelle Bolano
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
1800 Hollister Dr, Libertyville, IL, 60202-3119
Phone Number
847-918-7947
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Hollister Dr
City
Libertyville
State
Illinois
Zip
60048-5263
Phone Number
847-918-7947
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Hollister Dr
City
Libertyville
State
Illinois
Zip
60048-5263
Phone Number
847-918-7947
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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