Individual
SCOTT M BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3232 LAKE AVE STE 330, WILMETTE, IL 60091-1085
(847) 570-1795
(847) 503-4590
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036137475
IL
208000000X
Pediatrics Physician
35.123879
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
036173195
IL
2080P0206X
Pediatric Gastroenterology Physician
35.123879
OH
Other
Enumeration date
04/11/2011
Last updated
07/21/2025
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