| John Bolden M.d. S.c. | |
|
114 W Waverly St Morris IL 60450-1422 | |
| (708) 349-0055 | |
| Not Available |
| Full Name | John Bolden M.d. S.c. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 114 W Waverly St, Morris, Illinois |
| Authorized Official Name and Position | John Bolden (OWNER) |
| Authorized Official Contact | 7083490055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Bolden M.d. S.c. 10660 W 143rd St Ste B Orland Park IL 60462-1989 Ph: (708) 349-0055 | John Bolden M.d. S.c. 114 W Waverly St Morris IL 60450-1422 Ph: (708) 349-0055 |
| NPI Number | 1891977294 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891977294 | NPI | - | NPPES |
| DE2561 | Other | IL | PALMETTO RR MEDICARE |
| 03232029 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036106844 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036106844 (Illinois) | Primary |
David G Vermillion M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 N Division St Ste 201, Morris, IL 60450 Phone: 815-513-5625 Fax: 815-513-5624 | |
Peter C. Roumeliotis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Dresden Dr, Morris, IL 60450 Phone: 815-942-5200 Fax: 815-943-5330 | |
Morris Audiology Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 Division St Ste 509, Morris, IL 60450 Phone: 815-941-4700 Fax: 815-941-4700 | |
Southwest Diabetes Endocrinology Associates Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W High St, Morris, IL 60450 Phone: 815-942-2932 | |
Osf Oncall - Morris Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N Division St, Morris, IL 60450 Phone: 815-431-3410 Fax: 309-655-4878 | |
Kucinski Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Waverly St, Morris, IL 60450 Phone: 815-941-8210 Fax: 815-941-1584 | |
Raja K Saleem Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 948 W Us Route 6, Morris, IL 60450 Phone: 815-942-5474 Fax: 815-942-5498 |