Organization
BRUCE KOLTON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE KOLTON MD (PARTNER)
(847) 839-9999
Entity
Organization
Contact information
Practice address
2500 W HIGGINS RD STE 940, HOFFMAN ESTATES, IL 60169-2085
(847) 839-9999
(847) 885-1111
Mailing address
21421 NETWORK PLACE, CHICAGO, IL 60673-0001
(847) 839-9999
(847) 885-1111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360475801
—
IL
Enumeration date
04/16/2008
Last updated
04/20/2008
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