Individual
MR. BRUCE KOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W HIGGINS RD, STE 940, HOFFMAN ESTATES, IL 60195-2085
(847) 839-9999
(847) 885-1111
Mailing address
160 GREENBRIAR DR, DEERFIELD, IL 60015-5024
(847) 945-0773
(847) 945-0776
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036047580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360475801
—
IL
Enumeration date
05/24/2005
Last updated
01/05/2012
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