Individual
ARNOLD GARCIA BOLISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17047 LA GRANGE RD, ORLAND PARK, IL 60487-7227
(815) 300-7764
Mailing address
17047 LA GRANGE RD, ORLAND PARK, IL 60487-7227
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036087183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087183
—
IL
01
—
IL3596037
MEDICARE LOC 15 PIN
IL
01
—
P00268578
RAILROAD MEDICARE
IL
Enumeration date
04/11/2006
Last updated
08/27/2024
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