Organization
PROTOCOL 1 REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BOLSTER DC (OWNER)
(630) 362-6055
Entity
Organization
Contact information
Practice address
524 W 5TH AVE, NAPERVILLE, IL 60563-2901
(630) 362-6055
Mailing address
524 W 5TH AVE, NAPERVILLE, IL 60563-2901
(630) 362-6055
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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