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Search › Illinois › 207N00000X

Diana Bolotin, M.D

NPI 1164746905 · on the registry since 2010 · sole proprietor

Practice

Address
5841 S Maryland Ave
Mc 5067
Chicago, IL 60637
Phone
(773) 834-9821
Organisation at this address
Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of Chicago
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,773

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207ND0101X
207NS0135X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois