Individual
ANTONIO BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
525 N EDGELAWN DR, AURORA, IL 60506-4327
(630) 966-4215
Mailing address
525 N EDGELAWN DR, AURORA, IL 60506-4327
(630) 966-4215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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