CHARLES BOLAND

MAYWOOD, IL
NPI1134539471
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: TX  S4602)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  125-065680)
207LP2900X Anesthesiology Pain Medicine
(Licence: IL  036148562)
Enumeration Date2014-05-07
Last Update Date2022-01-28
Business Address
CHARLES BOLAND M.D.
2160 S 1ST AVE
MAYWOOD, IL 60153
Phone number: 888-584-7888
Mailing Address
CHARLES BOLAND M.D.
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999