Dr. Michaelina Bolton, MD
Emergency Medicine in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1861695520
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1861695520
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michaelina Bolton
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2007
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036127348 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301090132 | MI |
Practice location
4440 W 95th StOak Lawn, IL 60453-2600
Phone 708-684-4077 · Fax 708-684-1028
Mailing address
4440 W 95th StOak Lawn, IL 60453-2600
Phone 708-684-4077 · Fax 708-684-1028
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