Search › Illinois › 171M00000X
Dominique Bolden
NPI 1306617345 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4811 S Wabash Ave Apt 2
Chicago, IL 60615 - Phone
- (708) 776-3548
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2024-01-09
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