Individual
MICHELLE BOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1800 HOLLISTER DR, SUITE 205, LIBERTYVILLE, IL 60048-5263
(847) 918-7947
Mailing address
530 SHERIDAN RD, APT 2B, EVANSTON, IL 60202-3119
(847) 204-7919
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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