Individual
DR. JOHN BOLDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 E US ROUTE 6, MORRIS, IL 60450-9042
(815) 513-3074
(815) 513-3096
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036106844
IL
Other
Enumeration date
01/18/2007
Last updated
04/28/2020
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