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Individual

NADINE E BOLGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12251 S 80TH AVE STE 1780, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5750
Mailing address
12251 S 80TH AVE STE 1780, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5750

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036115138
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036115138
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036115138
MEDICAL LICENSE
IL
Enumeration date
08/14/2006
Last updated
05/14/2024
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