Organization
BRIGHTLIFE REGENERATIVE MEDICAL CLINIC OF BOLINGBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BURLISON (OWNER)
(630) 759-8989
Entity
Organization
Contact information
Practice address
231 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-1960
(630) 759-8989
Mailing address
231 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-1960
(630) 759-8989
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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