Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN G. BOLTON, M.D.
ActiveDR. SUSAN G. BOLTON, M.D. is a Pediatrics healthcare provider located in CHAMPAIGN, Illinois. NPI 1336156884 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1336156884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2006 (20.044713884204 yrs)
- Last Updated
- Jan 5, 2022
- License
-
036-082604 (IL)
Practice Information
- Address
-
1801 W WINDSOR RDCHAMPAIGN, IL, 618226217Browse IL providers · Browse ZIP 61822
- Phone
- 2173661257
- Fax
- 2173666110
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| JOSEPH J KEELEY | MD | 1093752370 |
| DR. FATHY Z. BASILIOS | M.D. | 1992710420 |
| JAMES E HAUFFE | MD | 1396752952 |
| DR. MARIA LOUISA B. MARANON | M.D. | 1588674105 |
| JANE E STRIEGEL | M.D. | 1427169127 |
| MYISHA Z. PORTER | M.D. | 1093975443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.