Search › Illinois › 183700000X
Richard Bolisenga
NPI 1588329494 · on the registry since 2021
Practice
- Address
- 3812 148th St
Midlothian, IL 60445 - Phone
- (312) 415-0058
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-04
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