ELIZABETH BOLANOS

CHICAGO, IL
NPI1518465632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209016790)
Enumeration Date2018-01-23
Last Update Date2021-05-04
Business Address
ELIZABETH BOLANOS APN
4327 S ARCHER AVE
CHICAGO, IL 60632-2844
Phone number: 773-242-2370
Mailing Address
ELIZABETH BOLANOS APN
PO BOX 746721
ATLANTA, GA 30374-6721
Phone number: 312-733-9730