Organization
BROWN BOULEVARD SURGICAL SUITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ROLAND (OWNER/PHYSICIAN)
(815) 932-7242
Entity
Organization
Contact information
Practice address
461 BROWN BLVD, SUITE A, BOURBONNAIS, IL 60914-2322
(815) 932-7242
(815) 932-7307
Mailing address
461 BROWN BLVD, SUITE A, BOURBONNAIS, IL 60914-2322
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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