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Michael Boladas Aligno, MSN, APN, FNP-BC

Nurse Practitioner, Family in Bolingbrook, IL. Individual provider (NPI-1).

NPI number1174165096
StatusActive
Last updated in NPPESOct 11, 2019

Details

NPI
1174165096
Entity type
Individual (NPI-1)
Name
Michael Boladas Aligno
Credential
MSN, APN, FNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 11, 2019
Last updated
Oct 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.020090ILYes

Practice location

727 Countryside Dr
Bolingbrook, IL 60490-5459

Phone 630-890-7503

Mailing address

727 Countryside Dr
Bolingbrook, IL 60490-5459

Phone 630-890-7503

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