Individual provider · Type 1 NPI

Therese Marie Bolger, P.A.

Medical Physician Assistant · Chicago, IL

NPI number 1871867374 Active

Practice location

4255 W 63rd St
Chicago, IL 60629-5041

Call (773) 424-4048 Map

Fax (773) 424-6463

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.004226 (IL)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1871867374

Therese Marie Bolger, P.A.'s National Provider Identifier is 1871867374, issued on Mar 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on May 7, 2019.