Rubi Bolles, LCSW
Social Worker, Clinical in Grayslake, IL. Individual provider (NPI-1).
NPI number1134895675
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1134895675
- Entity type
- Individual (NPI-1)
- Name
- Rubi Bolles
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2021
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | IL | Yes |
Practice location
100 N Atkinson RdGrayslake, IL 60030-7801
Phone 847-441-5600
Mailing address
661 W Lake St Ste 2sChicago, IL 60661-1034
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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