DIANA BOLOTIN

CHICAGO, IL
NPI1164746905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036.125194)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: IL  036.125194)
207NS0135X Dermatology, Procedural Dermatology
(Licence: IL  036.125194)
Enumeration Date2010-03-23
Last Update Date2010-03-23
Business Address
Dr. DIANA BOLOTIN M.D.
5841 S MARYLAND AVE MC 5067
CHICAGO, IL 60637-1447
Phone number: 773-834-9821
Mailing Address
Dr. DIANA BOLOTIN M.D.
5841 S MARYLAND AVE MC 5067
CHICAGO, IL 60637-1447
Phone number: 773-834-9821