Individual provider · Type 1 NPI

Marybeth Bolanowski, PA

Physician Assistant · Lombard, IL

NPI number 1891781639 Active

Practice location

1801 S Highland Ave Ste 220
Lombard, IL 60148-4932

Call (630) 790-1872 Map

Mailing address

PO Box 713260
Chicago, IL 60677-1260

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X085001424 (IL)
Physician Assistant Primary 363A00000X085001424 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1891781639

Marybeth Bolanowski, PA's National Provider Identifier is 1891781639, issued on Sep 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lombard, IL. The record was last updated on Jun 27, 2023.