Organization · Type 2 NPI
Bridgewell LLC
Primary Care Nurse Practitioner · Bolingbrook, IL
NPI number
1972296382
Active
Practice location
402 W Boughton Rd Ste A
Bolingbrook, IL 60440-1998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Bolingbrook
About NPI 1972296382
Bridgewell LLC's National Provider Identifier is 1972296382, issued on May 31, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bolingbrook, IL. The record was last updated on Sep 1, 2023.