Individual
DR. LUIS A BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 RIDGE AVE, SUITE 101, AURORA, IL 60504-7000
(630) 820-7100
(630) 264-2524
Mailing address
1256 WATERFORD DR STE 230, AURORA, IL 60504-4511
(630) 499-2404
(630) 692-5518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036090032
IL
Other
Enumeration date
05/18/2006
Last updated
08/27/2019
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