Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Joy Bolduan

Individual provider Otolaryngology Physician · NPI 1336535657

Alyssa Joy Bolduan is an Otolaryngology in Geneva, Illinois. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Tennessee.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
IL, TN
In the registry since
2015
Specialties on file
3

Practice location Address checks out

302 Randall Rd Ste 202
Geneva, IL 60134-4204
Phone: (630) 938-3900
Fax: (630) 938-3910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-3328 — (615) 322-3000

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036156561 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 60967 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336535657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address302 Randall Rd Ste 202, Geneva, IL 60134-4204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Geneva