Individual
CARLOS BOLMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9651 IRVING PARK RD, SCHILLER PARK, IL 60176-1905
(847) 671-2693
(847) 671-2907
Mailing address
9651 IRVING PARK RD, SCHILLER PARK, IL 60176-1905
(847) 671-2693
(847) 671-2907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069078634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078634
—
IL
Enumeration date
05/25/2006
Last updated
09/16/2009
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