Individual
DR. MICHAELINA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4077
(708) 684-1028
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4077
(708) 684-1028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036127348
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301090132
MI
Other
Enumeration date
06/08/2007
Last updated
05/31/2023
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