Individual
DR. PAUL BOLGER
Active
Individual
DR. PAUL BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036100563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100563008
—
IL
05
—
0571026
—
IL
05
—
2571026
—
IL
01
—
98356
BC WELLMARK WEST
IL
01
—
98357
BC WELLMARK 7TH
IL
01
—
IL0181
JOHN DEERE
IL
01
—
P00040958
RR MEDICARE
—
Enumeration date
02/08/2006
Last updated
10/20/2007
Update your record
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