Individual
DR. JOSE THOMAS BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 BARRINGTON RD, DOB 3, #4100, HOFFMAN ESTATES, IL 60169-1019
(847) 781-1790
(847) 781-9973
Mailing address
1555 BARRINGTON RD, DOB 3, #4100, HOFFMAN ESTATES, IL 60169-1019
(847) 781-1790
(847) 781-9973
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-097424
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097424
—
IL
Enumeration date
11/20/2005
Last updated
01/05/2022
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