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Search › Illinois › 133V00000X

Penny Bolen, RD, LDN

NPI 1487941886 · on the registry since 2011

Practice

Address
1401 E State St
Rockford, IL 61104
Phone
(815) 489-4662
Fax
(815) 961-2438
Organisation at this address
Rosecrance Inc
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-06

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