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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYBETH BOLANOWSKI, PA

Active

MARYBETH BOLANOWSKI, PA is a Physician Assistant healthcare provider located in LOMBARD, Illinois. NPI 1891781639 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOMBARD, IL

Registration Details

NPI Number
1891781639
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2005 (20.837227020233 yrs)
Last Updated
Jun 27, 2023
Licenses
085001424 (IL)
085001424 (IL)

Practice Information

Address
1801 S HIGHLAND AVE STE 220
LOMBARD, IL, 601484932
Browse IL providers · Browse ZIP 60148
Phone
6307901872
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LOMBARD, IL

Name Credential NPI
VINCENT WALSH PA-C 1295760163
MINHXUYEN NGUYEN PA-C 1265686604
MRS. MELISSA ANN PEART PAC 1609102631
ERIN VALENTINO P.A. 1811266026
RASHINA JANAI BOWDEN PA-C, ATC 1528484094
MR. JON JAMES MIRABITO PA-C 1467978049
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.