Individual provider · Type 1 NPI

Michelle Bolano, D.P.T.

Student in an Organized Health Care Education/Training Program · Libertyville, IL

NPI number 1750580049 Active

Practice location

1800 Hollister Dr, Suite 205
Libertyville, IL 60048-5263

Call (847) 918-7947 Map

Mailing address

530 Sheridan Rd, Apt 2B
Evanston, IL 60202-3119

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750580049

Michelle Bolano, D.P.T.'s National Provider Identifier is 1750580049, issued on Jul 16, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Libertyville, IL. The record was last updated on Jul 16, 2007.