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Marybeth Bolanowski, PA
Physician Assistant in Lombard, Illinois
NPI 1891781639

Marybeth Bolanowski is a Physician Assistant based in Chicago, IL. Marybeth Bolanowski practices in Lombard, IL and has the professional credentials of PA. The NPI Number for Marybeth Bolanowski is 1891781639 and holds a License No. 085001424 (Illinois).

The current practice location address for Marybeth Bolanowski is 1801 S Highland Ave Ste 220, Lombard, IL and can be reached out via phone at 630-790-1872.

Location: 1801 S Highland Ave Ste 220, Lombard, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891781639
Provider Name
Marybeth Bolanowski
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1801 S Highland Ave Ste 220, Lombard, IL, 60677-1260
Phone Number
630-790-1872
Fax Number
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970023229 01 IL RAILROAD MEDICARE
085001424 05 IL
institution
Provider Business Practice Location Address Details
Address
1801 S Highland Ave Ste 220
City
Lombard
State
Illinois
Zip
60148-4932
Phone Number
630-790-1872
Fax Number
person
Provider Business Mailing Address Details
Address
1801 S Highland Ave Ste 220
City
Lombard
State
Illinois
Zip
60148-4932
Phone Number
630-790-1872
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085001424 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
085001424 (Illinois)
Definition
Definition to come...
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